Information Collection

45 Cfr Part 95.600 State Requests For Hhs Approval Of Federal Financial Participation In The Cost Of Adp Systems, Equipment And Services

IC 116740 under ICR 198709-0990-008 · OMB 0990-0174.

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IC Title:	45 CFR PART 95.600 STATE REQUESTS FOR HHS APPROVAL OF FEDERAL FINANCIAL PARTICIPATION IN THE COST OF ADP SYSTEMS, EQUIPMENT AND SERVICES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

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