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Federalwide Assurance (FWA)
Federalwide Assurance (FWA)
OMB: 0990-0278
IC ID: 10411
OMB.report
HHS/HHSDM
OMB 0990-0278
ICR 200801-0990-002
IC 10411
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0278 can be found here:
2023-07-10 - Extension without change of a currently approved collection
2020-07-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0278FWA Form - International - Proposed January 08 (2).doc
Other-instrument
0990-0278FWA Form-US-Current expires 1-31-08.docm
Other-instrument
0990-0278Individual Investigator Agreement January 08.doc
Instruction
0990-0278-FWA Form-US-Proposed January 08 (2).doc
Other-instrument
0990-0278FWA Terms-Current Janauray 08 (2).doc
Other-instrument
0990-0278FWA Terms-Proposed January 08.docm
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Federalwide Assurance (FWA)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 46
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
0990-0278Individual Investigator Agreement January 08.doc
No
No
Paper Only
Other-instrument
0990-0278-FWA Form-US-Proposed January 08 (2).doc
No
No
Paper Only
Other-instrument
0990-0278FWA Terms-Current Janauray 08 (2).doc
No
No
Paper Only
Instruction
0990-0278FWA Terms-Proposed January 08.docm
No
No
Paper Only
Other-instrument
0990-0278FWA Form - International - Proposed January 08 (2).doc
No
No
Paper Only
Other-instrument
0990-0278FWA Form-US-Current expires 1-31-08.docm
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20,000
0
-10,000
0
0
30,000
Annual IC Time Burden (Hours)
15,000
0
-7,500
0
0
22,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.