Category 3 Measures (2 measures)

Pregnancy Assistance Fund (PAF) Performance Measures Collection

OMB: 0990-0416

IC ID: 209974

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Category 3 Measures (2 measures)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-FORM 0990-0416_Attachment E_Form_Category 3_PAF PM Renewal_0990_0416.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

5 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 5 0 -1 0 0 6
Annual IC Time Burden (Hours) 15 0 -3 0 0 18
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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