Information Collection

Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center

IC 7687 under ICR 200809-0930-001 · OMB 0930-0271.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachments A-C Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center	Form and Instruction
Attachments A-C Attachments A-C Part 2 -- A-C.doc	Form and Instruction
Part 3 --Attachments D-I.doc Attachments D-I	IC Document
Part 4 -- Attachments J-K.doc Attachments J-K	IC Document
SIG comments.pdf Comments	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	Attachments A-C	Attachments A-C	Part 2 -- A-C.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	364	-910	1,274
Annual IC Time Burden (Hours)	2,870	-6,832	9,702
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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