OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Provider Survey (Sustained Partnership Provider Survey and Dissolved Partnership Provider Survey)

IC 248443 under ICR 202112-0970-012 · OMB 0970-0471.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

Provider Survey (Sustained Partnership Provider Survey and Dissolved Partnership Provider Survey)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 2. Sustained Partnership Provider Survey.docx Yes Yes Fillable Fileable
Other-Survey Instrument 3. Dissolved Partnership Provider Survey.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

470 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 155 0 0 0 0 155
Annual IC Time Burden (Hours) 78 0 0 0 0 78
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.