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Federal forms, ICRs, and supporting documents

Information Collection

District Collaborator Indicator Data Instrument

IC 213253 under ICR 201409-0930-002 · OMB 0930-0347.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

District Collaborator Indicator Data Instrument
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction District collaboration indicator data instrument District collaboration indicator data instrument Attachment F_District collaboration indicator data instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

21 0
   
State, Local, and Tribal Governments
 
   100 %

  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 84 0 84 0 0 0
Annual IC Time Burden (Hours) 126 0 126 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.