Information Collection Request

Case Management Services Grant Program

ICR 201706-2900-010 · OMB 2900-0861 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
10NC1 SD -GPD CM Grant Emergency Info Collection Memo 10-22-18 MDapp.pdf Supplementary Document Uploaded 2018-10-26 Available
WP17-30 PRA Justification - Case Management Services_Final with updated FRN_092718.doc Supporting Statement A Uploaded 2018-09-27 Available
AQ15 IFR Published.pdf Supplementary Document Uploaded 2018-09-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227263 Case Management Grant Program New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2019 6 Months From Approved
100 0 0
58 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Case Management Grant Program

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 0 0 100 0 0
Annual Time Burden (Hours) 58 0 0 58 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No