American Indian and Alaska Native (AIAN) Facility Survey

American Indian and Alaska Native (AIAN) Facility Survey

OMB: 0970-0534

IC ID: 237391

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

View Information Collection (IC)

American Indian and Alaska Native (AIAN) Facility Survey
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey AIAN Facility Survey-9-13-19-CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

155 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 543 0 543 0 0 0
Annual IC Time Burden (Hours) 54 0 54 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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