Quarterly Progress Update (QPU) Form

Standardized Work Plan (SWP) Form

OMB: 0906-0049

IC ID: 244748

Information Collection (IC) Details

View Information Collection (IC)

Quarterly Progress Update (QPU) Form
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 QPU w Instructions and Burden Statement.pdf QPU w Instructions and Burden Statement.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
Private Sector Not-for-profit institutions
 
   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 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 400 0 400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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