Information Collection

Alzheimer's Disease Demonstration Grants to States (ADDGS) Program

IC 178976 under ICR 200703-0985-001 · OMB 0985-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ADDGS Data Collection Reporting instrument.xls	Other-excell spreadsheet
ADDGS Definitions for Data Collection.doc ADDGS Definitions	IC Document

IC Title:

Alzheimer's Disease Demonstration Grants to States (ADDGS) Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Other-excell spreadsheet			ADDGS Data Collection Reporting instrument.xls		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 38

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	38	38
Annual IC Time Burden (Hours)	950	950
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ADDGS Definitions	ADDGS Definitions for Data Collection.doc

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