Quarterly Progress Report

Quarterly Progress Reporting and Annual Indirect Services Outcome Data Collection for the Minority Substance Abuse/HIV Prevention Program (MAI)

OMB: 0930-0357

IC ID: 219824

Information Collection (IC) Details

View Information Collection (IC)

Quarterly Progress Report
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Quarterly Progress Report Quarterly Progress Report Attachment 1-MAI_QuarterlyProgressReport_2_3_16.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

158 0
   
State, Local, and Tribal Governments
 
   100 %

  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 632 0 632 0 0 0
Annual IC Time Burden (Hours) 2,528 0 2,528 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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