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Federal forms, ICRs, and supporting documents

Information Collection

Instrument 12 - Administrative data list

IC 239800 under ICR 202103-0970-002 · OMB 0970-0544.

Documents and Forms
Document Name
Document Type
Other-Admin Data List
Other-Admin Data List
Information Collection (IC) Details

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Instrument 12 - Administrative data list
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Admin Data List Instrument 12 - Administrative Data List.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

24 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 12 0 0 0 0 12
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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