Information Collection

Progress Report Guidance

IC 204161 under ICR 201509-0915-002 · OMB 0915-0356.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Progress Report Guidance	Form and Instruction
1 Competitive NCC Progress Report Competitive D89 FY 13 NCC Progress Report Instructions_OMB Exp 9 30 2015_DGIS Review_rev 5.28.13.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	1	Competitive NCC Progress Report	Competitive D89 FY 13 NCC Progress Report Instructions_OMB Exp 9 30 2015_DGIS Review_rev 5.28.13.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-33	33
Annual IC Time Burden (Hours)	-1,452	1,452
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.