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4--Grantee Annual Report on Coalition Functioning, Cost-Effectiveness, and Sustainability Planning

IC 218884 under ICR 201508-0990-001 · OMB 0990-0443.

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

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4--Grantee Annual Report on Coalition Functioning, Cost-Effectiveness, and Sustainability Planning
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-report 0990-CHC_Grantee Annual Report on Coalition Functioning Cost-Effectiveness and Sustainability Planning.doc No   Fillable Printable

Health Health Care Services

 

10 0
   
Individuals or Households
 
   30 %

  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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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