Information Collection Request

Application for Client Assistance Program

ICR 201902-1820-001 · OMB 1820-0520 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Assurance Client Assistance Program Grants Form and Instruction Modified Available
CAP Assurances Supporting Statement- 2019 SM Rev(2)SM04242019.docx Supporting Statement A Uploaded 2019-04-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191757 State Assurance Client Assistance Program Grants Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 07/31/2019
57 0 56
9 0 9
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
State Assurance Client Assistance Program Grants N/A CAP State Assurances

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 57 56 0 0 1 0
Annual Time Burden (Hours) 9 9 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No