Information Collection

State Program Report for Titles III and VII of the Older Americans Act

IC 10260 under ICR 201911-0985-001 · OMB 0985-0008.

Documents and Forms

Document Name Document Type
State Program Report for Titles III and VII of the Older Americans Act Form and Instruction
SPR Form 0985-0008 SPR_Form_2019.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Program Report for Titles III and VII of the Older Americans Act	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	NA	SPR Form	0985-0008 SPR_Form_2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55	0	-1	56
Annual IC Time Burden (Hours)	2,750	874	0	1,876
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.