Information Collection

Family Planning Annual Report: Forms and Instructions

IC 10341 under ICR 201909-0990-001 · OMB 0990-0221.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0990-0221 Family Planning Annual Report: Forms and Instructions	Form and Instruction
0990-0221 FPAR Forms and Instructions FPAR_Reissued_Oct2019_ToOPA.docx	Form and Instruction
60-day FRN 0990-0221published.pdf 60-day Federal Register, Volume 84 Issue 162 (Wednesday, August 21, 2019	IC Document

IC Title:

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	0990-0221	FPAR Forms and Instructions	FPAR_Reissued_Oct2019_ToOPA.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 93

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	93	93
Annual IC Time Burden (Hours)	3,348	3,348
Annual IC Cost Burden (Dollars)	205,251	205,251

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60-day Federal Register, Volume 84 Issue 162 (Wednesday, August 21, 2019	60-day FRN 0990-0221published.pdf	09/23/2019

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