Beacon Community Application Form

Beacon Community Cooperative Agreement Program

OMB: 0990-0348

IC ID: 191378

Documents and Forms
Information Collection (IC) Details

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Beacon Community Application Form
 
  New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Beacon Community Application Form Beacon Community Application Form ver1.doc Yes Yes Printable Only

Health Health Care Services

 

50 0
   
Private Sector Not-for-profit institutions
 
   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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 42,000 0 42,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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