Information Collection Request

Annual Performance Report for the State Grant for Assistive Technology Program

ICR 202012-0985-001 · OMB 0985-0042 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
State Assessment and Performance Measurement Form Form Removed Available
Statewide AT Annual Performance Measurements Report Form Removed Repair queued
SGAT Customer Survey Form and Instruction Removed Available
Statewide AT Customer Satisfaction Survey Form and Instruction Removed Repair queued
Annual Performance Report for the State Grant for Assistive Technology Program Form and Instruction New Available
Annual Performance Report for the State Grant for Assistive Technology Program Form and Instruction New Repair queued
Form 1 State Grant for AT Progress Report Form Removed Available
Form 1 Record Keeping Burden Form Removed Available
Form 1 State Grant for AT Annual Progres Report Form Removed Available
Form 1 Program Support Form Removed Repair queued
Form 1 State Grant AT Annual Progress Report Form Removed Available
Form 1 Annual Report for the State Grant for Assistive Technology Program Form Removed Repair queued
0042 Public Comment Summary for AT APR-IC Nov 27 2020.xlsx Supplementary Document Uploaded 2021-01-08 Repair queued
0042 Supporting Statement for AT APR 121420 Reinstate w Change.docx Supporting Statement A Uploaded 2021-01-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
46672 Statewide AT Annual Performance Measurements Report Form RemovedState Assessment and Performance Measurement Form
46672 Statewide AT Annual Performance Measurements Report Form Removed
46671 Statewide AT Customer Satisfaction Survey Form and Instruction RemovedSGAT Customer Survey
46671 Statewide AT Customer Satisfaction Survey Form and Instruction Removed
245267 Annual Performance Report for the State Grant for Assistive Technology Program Form and Instruction NewAnnual Performance Report for the State Grant for Assistive Technology Program
245267 Annual Performance Report for the State Grant for Assistive Technology Program Form and Instruction New
228667 Record Keeping Burden Form RemovedState Grant for AT Progress Report
228667 Record Keeping Burden Form Removed
228666 Program Support Form RemovedState Grant for AT Annual Progres Report
228666 Program Support Form Removed
21562 Annual Report for the State Grant for Assistive Technology Program Form RemovedState Grant AT Annual Progress Report
21562 Annual Report for the State Grant for Assistive Technology Program Form Removed
21562 Annual Report for the State Grant for Assistive Technology Program Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2024 36 Months From Approved
56 0 0
22,624 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Annual Performance Report for the State Grant for Assistive Technology Program NA
Annual Report for the State Grant for Assistive Technology Program 1
Program Support 1
Record Keeping Burden 1
Statewide AT Annual Performance Measurements Report N/A
Statewide AT Customer Satisfaction Survey NA

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56 0 0 -6,596 0 6,652
Annual Time Burden (Hours) 22,624 0 0 0 0 22,624
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No