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Title X Grant Requirements
Ensuring Access to Equitable, Affordable, Client-centered, Quality Family Planning Services
OMB: 0937-0211
IC ID: 249923
OMB.report
HHS/OASH
OMB 0937-0211
ICR 202110-0937-005
IC 249923
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Title X Grant Requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
42 CFR 59
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Title X Grant Requirements
FR Citation:
86 FR 56144
Number of Respondents:
136
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
136
0
136
0
0
0
Annual IC Time Burden (Hours)
9,520
0
9,520
0
0
0
Annual IC Cost Burden (Dollars)
7,530
0
7,530
0
0
0
Documents for IC
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.