Information Collection

Family Planning Annual Report: Forms and Instructions

IC 10341 under ICR 200401-0990-002 · OMB 0990-0221.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Family Planning Annual Report: Forms and Instructions

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:

table that charts list of 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: 89

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	89	4	85
Annual IC Time Burden (Hours)	2,937	1,067	1,870
Annual IC Cost Burden (Dollars)	1,036,000	989,000	47,000

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.