Information Collection

Family Planning Annual Report: Forms and Instructions

IC 10341 under ICR 200708-0990-002 · OMB 0990-0221.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0221 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0221ATTACH_B1_Title X Statute.pdf	Other-Info reg.
0990-0221ATTACH_B2_ofp_regs_42cfr59_10-1-2000.pdf	Other-reg.
0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision.pdf 0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision	IC Document

IC Title:

Family Planning Annual Report: Forms and Instructions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Info reg.			0990-0221ATTACH_B1_Title X Statute.pdf		No	No	Printable Only
Other-reg.			0990-0221ATTACH_B2_ofp_regs_42cfr59_10-1-2000.pdf		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 88

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	-1	89
Annual IC Time Burden (Hours)	1,760	-1,177	2,937
Annual IC Cost Burden (Dollars)	0	-1,036,000	1,036,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision	0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision.pdf	07/31/2007

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