Information Collection Request

Application for Client Assistance Program

ICR 201512-1820-001 · OMB 1820-0520 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Assurance Client Assistance Program Grants Form and Instruction Modified Available
CAP Assurances Supporting Statement 2016.doc Supporting Statement A Uploaded 2016-02-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191757 State Assurance Client Assistance Program Grants Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 04/30/2016
56 0 56
9 0 9
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
State Assurance Client Assistance Program Grants N/A CAP State Assurances

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56 56 0 0 0 0
Annual Time Burden (Hours) 9 9 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No