Information Collection

caBIG Support Service Provider Program Call for Applications

IC 197716 under ICR 201105-0925-002 · OMB 0925-0636.

Documents and Forms

Document Name Document Type
Form 1 caBIG Support Service Provider Program Call for Applications Form and Instruction
1 Call for Applications Attach 1_caBIG_SSP_Announcement.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	caBIG Support Service Provider Program Call for Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	1	Call for Applications	Attach 1_caBIG_SSP_Announcement.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	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.