Partnerships and Sustainability

The third cohort_Pregnancy Assistance Fund (PAF) Performance, FY2017-FY2019

OMB: 0990-0460

IC ID: 226860

Documents and Forms
Information Collection (IC) Details

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Partnerships and Sustainability
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form Attachment C 0990_XXXX_Form_PAF PM_ Partners_2017_2019_FINALrev92017.docx Yes Yes Fillable Fileable

Health Health Care Services

 

19 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 19 0 19 0 0 0
Annual IC Time Burden (Hours) 46 0 46 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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