Information Collection

Health Center Program Progress Report

IC 223043 under ICR 202005-0915-003 · OMB 0915-0285.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0285 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 31 Health Center Program Progress Report	Form and Instruction
31 Health Center Program Progress Report - Clean.docx Health Center Program Progress Report - Clean.docx	Form and Instruction
31E Health Center Program Progress Report - edits.docx Health Center Program Progress Report - edits.docx	Form and Instruction

IC Title:

Health Center Program Progress Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	31	Health Center Program Progress Report - Clean.docx	Health Center Program Progress Report - Clean.docx		Yes	Yes	Fillable Fileable
Form and Instruction	31E	Health Center Program Progress Report - edits.docx	Health Center Program Progress Report - edits.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 735

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	735	735
Annual IC Time Burden (Hours)	735	735
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.