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State of the States in Services and Supports for ASD: Data Collection and Verification Tool
Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD
OMB: 0938-1142
IC ID: 198119
OMB.report
HHS/CMS
OMB 0938-1142
ICR 201107-0938-011
IC 198119
( )
Documents and Forms
Document Name
Document Type
Data Collection Tool [rev 06-13-11].doc
Other-Data Collection Tool
IACC_2010_Strategic_Plan_Attachment B11-10.pdf
2010 IACC Strategic Plan
IC Document
2011 IACC Strategic Plan for ASD Research.pdf
2011 IACC Strategic Plan
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State of the States in Services and Supports for ASD: Data Collection and Verification Tool
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
Other-Data Collection Tool
Data Collection Tool [rev 06-13-11].doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
153
0
153
0
0
0
Annual IC Time Burden (Hours)
268
0
268
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2010 IACC Strategic Plan
IACC_2010_Strategic_Plan_Attachment B11-10.pdf
07/21/2011
2011 IACC Strategic Plan
2011 IACC Strategic Plan for ASD Research.pdf
07/21/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.