Information Collection

Family Planning Annual Report: Forms and Instructions

IC 10341 under ICR 201308-0990-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
0990-0221B_FPARForms&Instructions_Jan2011.pdf	Other-forms
0990-0221 C_FPARForms&Instructions_Jan2014.pdf	Other-forms
0990-0221_F_2011FPARNatlSummary.pdf	Other-report

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:

table that charts list of instruments
Document Type	Instrument File	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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 93

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	93	5	88
Annual IC Time Burden (Hours)	3,348	-172	3,520
Annual IC Cost Burden (Dollars)	205,251	5,051	200,200

Documents for IC

table that charts IC Documents
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.