OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Tracking attendance of facilitation sessions

IC 237396 under ICR 202105-0935-001 · OMB 0935-0246.

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

View Information Collection (IC)

Tracking attendance of facilitation sessions
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction I Tracking attendance of facilitation sessions Attachment I - Comprehensive List of clinical staff.docx Yes Yes Fillable Printable

Health Health Care Services

 

258 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  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 1,032 0 0 0 0 1,032
Annual IC Time Burden (Hours) 1,032 0 0 0 0 1,032
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.