Family Planning Annual Report: Forms and Instructions

Family Planning Annual Report: Forms and Instructions

OMB: 0990-0221

IC ID: 10341

Documents and Forms
Information Collection (IC) Details

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Family Planning Annual Report: Forms and Instructions
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-forms 0990-0221B_FPARForms&Instructions_Jan2011.pdf No No Paper Only
Other-forms 0990-0221 C_FPARForms&Instructions_Jan2014.pdf No No Printable Only
Other-report 0990-0221_F_2011FPARNatlSummary.pdf No No Paper Only

Health Health Care Services

 

93 0
   
State, Local, and Tribal Governments
 
   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 93 0 5 0 0 88
Annual IC Time Burden (Hours) 3,348 0 -172 0 0 3,520
Annual IC Cost Burden (Dollars) 205,251 0 5,051 0 0 200,200

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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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