Information Collection

Application Guidelines For Designation And Grant Award And Reporting System For Shpdas

IC 110177 under ICR 198312-0915-003 · OMB 0915-0058.

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Information Collection (IC) Details

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IC Title:	APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	PHS 5161,	No	No
Form	HRSA 281-1,	No	No
Form	281-2, &	No	No
Form	282	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	133	76	57
Annual IC Time Burden (Hours)	7,581	456	7,125
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.