Information Collection

PATH Annual Reports

IC 7600 under ICR 201807-0930-002 · OMB 0930-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0205 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PATH Annual Report PATH Annual Reports	Form and Instruction
PATH Annual Report PATH Annual Report Attachment A-AnnualReportManual_2 1 2018.docx	Form and Instruction
Attachment B-PATH State Contacts.docx State PATH Contacts	IC Document

IC Title:

PATH Annual Reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PATH Annual Report	PATH Annual Report	Attachment A-AnnualReportManual_2 1 2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 543

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	543	-5	548
Annual IC Time Burden (Hours)	8,145	-2,815	10,960
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
State PATH Contacts	Attachment B-PATH State Contacts.docx	07/25/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.