Information Collection

2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review

IC 223721 under ICR 201412-1090-003 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 790 2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review	Form
790 2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edi 2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review.docx	Form

IC Title:

2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review

Agency IC Tracking Number:

790

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	790	2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review	2016 790 HRSA HAB Grantee Questionnaire - 2016 Final Edits for CFI RR Final Edits 9-26-16 OMB review.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

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.