Information Collection

Data Collection - State Program Report For Title Iii Of The Older Americans Act

IC 116375 under ICR 199104-0980-001 · OMB 0980-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0199 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	DATA COLLECTION - STATE PROGRAM REPORT FOR TITLE III OF THE OLDER AMERICANS ACT	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	STATE	No	No
Form	REPORT	No	No
Form	TITLE III	No	No
Form	PROGRAM	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	57	2	-4	59
Annual IC Time Burden (Hours)	1,026	28	-62	1,060
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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