Partnerships and Sustainability

The Pregnancy Assistance Fund (PAF) Performance, FY2017-FY2019, revised for cohort 5

OMB: 0990-0460

IC ID: 226860

Documents and Forms
Document Name
Document Type
Other-survey
Information Collection (IC) Details

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Partnerships and Sustainability
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey PAF grantee form_partners 0990_0460rev12212018.doc Yes Yes Fillable Fileable

Health Health Care Services

 

23 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 23 0 4 0 0 19
Annual IC Time Burden (Hours) 81 0 35 0 0 46
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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