Annual Report

Assurance (Interinstitutional, Foreign, and Domestic) and Annual Report (Office of Director)

OMB: 0925-0765

IC ID: 237707

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Annual Report
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4 Annual Report Annual Report v02.05.2020.docx Yes Yes Fillable Fileable

Health Health Care Services

 

940 0
   
Individuals or Households
 
   100 %

  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 940 0 0 0 0 940
Annual IC Time Burden (Hours) 1,410 0 0 0 0 1,410
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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