Information Collection

Developmental Disabilities Protection and Advocacy Statement of Goals and Priorities

IC 10233 under ICR 201512-0985-001 · OMB 0985-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PADD PA-SGP06instrv2 Developmental Disabilities Protection and Advocacy Statement of Goals and Priorities	Form
PADD PA-SGP06instrv2 PA-SGP06-C-Inst-v1[1].docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1386.23(c)

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	PADD				No	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

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
	Approved	Previously Approved
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	2,508	2,508
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.

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