Information Collection Request

(PREP) State Personal Responsibility Program

ICR 201310-0970-001 · OMB 0970-0380 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SupportingStatementPREP7-2013 09232013 REV.docx Supporting Statement A Uploaded 2013-09-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
193975 Performance Progress Report Modified
193974 State Plan Removed
193973 Application Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2017 36 Months From Approved 03/31/2014
172 0 236
2,752 0 5,664
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Performance Progress Report 1
Application
State Plan

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 172 236 0 -64 0 0
Annual Time Burden (Hours) 2,752 5,664 0 -2,912 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No