State Program Report for Titles III and VII of the Older Americans Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 1 State Program Report for Titles III and VII of the Older Americans Act Form and Instruction
1 State Program Performance Report Requirements State_Program_Performance_Report_Requirements_FINAL FOR POSTING.DOCX Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Program Report for Titles III and VII of the Older Americans Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	State Program Performance Report Requirements	State_Program_Performance_Report_Requirements_FINAL FOR POSTING.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	56	1	55
Annual IC Time Burden (Hours)	1,876	-874	2,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.