Information Collection

CMS/AoA Aging and Disability Resource Center Grant Program (Real Choice Systems Change Grants for Community Living and the Older Americans Act, Public Law 106-501 (Catalog of Federal Domestic...

IC 8741 under ICR 200401-0938-013 · OMB 0938-0903.

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Information Collection (IC) Details

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IC Title:

CMS/AoA Aging and Disability Resource Center Grant Program (Real Choice Systems Change Grants for Community Living and the Older Americans Act, Public Law 106-501 (Catalog of Federal Domestic...

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10093				Yes	Yes

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	48	-34	82
Annual IC Time Burden (Hours)	960	-2,200	3,160
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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