Information Collection Request

HRSA HAB Client-Level Data Reporting System

ICR 201403-0915-001 · OMB 0915-0323 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 HRSA Client-Level Data Reporting System: Client Report Form Modified Available
Form 1 HRSA Client-Level Data Reporting System: Service Provider Report Form Modified Available
Form 1 HRSA Client-Level Data Reporting System: Grantee Report Form Modified Available
Supporting Statement.doc Supporting Statement A Uploaded 2014-05-28 Available
0 RSR_Instructions.doc Supplementary Document Uploaded 2014-04-09 Available
0 RWHAP Legislation.pdf Supplementary Document Uploaded 2014-04-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
187336 HRSA Client-Level Data Reporting System: Client Report Form Modified
187335 HAB Client Report Without Data Systems Instruction Removed
187334 HRSA Client-Level Data Reporting System: Service Provider Report Form Modified
187332 HRSA Client-Level Data Reporting System: Grantee Report Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2017 36 Months From Approved 06/30/2014
3,700 0 4,525
122,550 0 17,975
0 0 0





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 3,700 4,525 0 -825 0 0
Annual Time Burden (Hours) 122,550 17,975 0 104,575 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No