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Learn Grants Test Model

IC 221789 under ICR 201603-4040-001 · OMB 4040-0017.

Documents and Forms
Document Name
Document Type
Other-Quiz
Other-Survey
Other-Question Bank
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Learn Grants Test Model
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Quiz Draft_HHS DAP_LG Example Quiz_05232016.docx Yes Yes Fillable Fileable
Other-Survey Draft_HHS DAP_ LG Survey_05232016.docx Yes Yes Fillable Fileable
Other-Question Bank Draft_HHS DAP_LG Question Bank_05232016.docx Yes Yes Fillable Fileable

Health Health Care Services

 

360 0
   
Individuals or Households
 
   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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 135 0 135 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Short Supporting Statement 4040-0017_Short Supporting Statement LG_June2016_06012016v2 (002)_OMBComment (3).docx 06/03/2016
Supporting Statement A 4040-0017_SupportingStatementA LG_May2016_05232016.docx 06/03/2016
Webinar DRAFT_HHS DAP LG Webinar_05232016.pptx 06/03/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.