Notice of Award -- Proof of Concept Test

DATA Act Section 5 Grants Pilot

OMB: 4040-0017

IC ID: 223704

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Other-questionnaire
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Notice of Award -- Proof of Concept Test
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-questionnaire 4040-0017 HHS NOA Questionnaire_09232016.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 33 0 33 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Group A Standardized NOA Group A - Standardized NOAs 09232016.pdf 09/26/2016
Group B Non-Standardized NOAs Group B - Non-Standardized NOAs 09232016.pdf 09/26/2016
Group A Answer Key Group A DCT Answer Key_09232016.docx 09/26/2016
Group B Answer Key Group B DCT Answer Key_09232016.docx 09/26/2016
Webinar Deck NOA Webinar Deck_09232016.pptx 09/26/2016
Instructions NOA Instructions and DCT_09232016.docx 09/26/2016
Short Supporting Statement 4040-0017_Short Supporting Statement_NOA_09232016.docx 09/26/2016
Supporting Statement A 4040-0017_Supporting Statement A_NOA_09232016.docx 09/26/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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