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Family Planning Annual Report: Forms and Instructions
Family Planning Annual Report: Forms and Instructions
OMB: 0990-0221
IC ID: 10341
OMB.report
HHS/HHSDM
OMB 0990-0221
ICR 201604-0990-005
IC 10341
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0221 can be found here:
2019-10-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0221B_FPARForms&Instructions_Jan2011.pdf
Other-forms
0990-0221 C_FPARForms&Instructions_Jan2014.pdf
Other-forms
0990-0221_F_2011FPARNatlSummary.pdf
Other-report
0990-0221Federal Register, Volume 81 Issue 132 (Monday, July 11, 2016).htm
30-day FRN
IC Document
60-day Federal Register, Volume 81 Issue 67 (Thursday, April 7, 2016).htm
60-day FRN
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Family Planning Annual Report: Forms and Instructions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-forms
0990-0221B_FPARForms&Instructions_Jan2011.pdf
No
No
Paper Only
Other-forms
0990-0221 C_FPARForms&Instructions_Jan2014.pdf
No
No
Printable Only
Other-report
0990-0221_F_2011FPARNatlSummary.pdf
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
93
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
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
93
0
0
0
0
93
Annual IC Time Burden (Hours)
3,348
0
0
0
0
3,348
Annual IC Cost Burden (Dollars)
205,251
0
0
0
0
205,251
Documents for IC
Title
Document
Date Uploaded
30-day FRN
0990-0221Federal Register, Volume 81 Issue 132 (Monday, July 11, 2016).htm
08/11/2016
60-day FRN
60-day Federal Register, Volume 81 Issue 67 (Thursday, April 7, 2016).htm
08/11/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.