Family Planning Annual Report: Forms and Instructions

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Planning Annual Report: Forms and Instructions	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:

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 %

	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

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.