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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Developmental Disabilities Protection and Advocacy Statement of Goals and Priorities	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PADD	PA-SGP06instrv2	PA-SGP06-C-Inst-v1[1].docx		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 %

	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

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.