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Tribal PREP PPR
Tribal PREP Implementation Plan and PPR
OMB: 0970-0410
IC ID: 202179
OMB.report
HHS/ACF
OMB 0970-0410
ICR 201205-0970-001
IC 202179
( )
Documents and Forms
Document Name
Document Type
Form 1
Tribal PREP PPR
Form
1 PREP PPR
Tribal PREP PPR.DOCX
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal PREP PPR
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
1
PREP PPR
Tribal PREP PPR.DOCX
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
16
Number of Respondents for Small Entity:
12
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
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
32
0
32
0
0
0
Annual IC Time Burden (Hours)
960
0
960
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
