Information Collection

Family Planning Annual Report: Forms and Instructions

IC 10341 under ICR 201010-0990-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 0990-0221 Family Planning Annual Report: Forms and Instructions Form and Instruction
0990-0221 Title X Family Planning Report 0990-0221C_FPAR_2011Version.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0990-0221	Title X Family Planning Report	0990-0221C_FPAR_2011Version.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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	0	88
Annual IC Time Burden (Hours)	3,520	1,760	1,760
Annual IC Cost Burden (Dollars)	200,200	200,200	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.