Information Collection Request

“DATA Act Section 5 Grants Pilot”

ICR 201601-4040-001 · OMB unassigned · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
updated 4040_new HHS DAP PRA _Statement A_3142016.docx Supporting Statement A Uploaded 2016-03-16 Repair queued
0990-HHS DAP PRA_Statement B_1212016.docx Supporting Statement B Uploaded 2016-01-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220641 Test Model 3 Form and Survey New
220640 Form and Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Form and Survey
Test Model 3 Form and Survey



Reginfo record details
  No