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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded

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