Information Collection

Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments

IC 43739 under ICR 200909-0990-006 · OMB 0990-0169.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
content.gif www.access.gpo.gov/nara/cfr/waisidx_08/45cfr92_08.html	Other-SEE CFR Website

IC Title:

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 92

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-SEE CFR Website			content.gif	http://www.access.gpo.gov/nara/cfr/waisidx_08/45cfr92_08.html	Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	280,000	280,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.