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Federal forms, ICRs, and supporting documents

Information Collection

HRSA Client-Level Data Reporting System: Grantee Report

IC 187332 under ICR 201804-0915-005 · OMB 0915-0323.

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HRSA Client-Level Data Reporting System: Grantee Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form B B - 2017_RSR_Grantee_Report_Screenshots.docx B - 2017_RSR_Grantee_Report_Screenshots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

595 0
   
State, Local, and Tribal Governments
 
   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 595 0 0 0 0 595
Annual IC Time Burden (Hours) 4,165 0 0 0 0 4,165
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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