OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Grantee program staff-Tier 1 A/B

IC 199778 under ICR 201502-0990-004 · OMB 0990-0392.

Documents and Forms
Document Name
Document Type
Other-survey
Other-form
Information Collection (IC) Details

View Information Collection (IC)

Grantee program staff-Tier 1 A/B
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-PM OMB ICR Instrument 3 Reporting Form AB Grantees 8-4.docx Yes Yes Fillable Printable
Other-form 0990-0392 Appendix D Example of Evaluation Grantee Consent 5 1 2012 (2).doc No No Paper Only

Health Illness Prevention

 

59 0
   
Individuals or Households
 
   0 %

  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 0 0 0 -59 0 59
Annual IC Time Burden (Hours) 0 0 0 -1,121 0 1,121
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.