Information Collection Request

State Self-Assessment Review and Report

ICR 202202-0970-014 · OMB 0970-0223 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 State Self-Assessment Review and Report Form and Instruction Modified Repair queued
SAR 60 response and comment_2.24.22.docx Supplementary Document Uploaded 2022-02-24 Repair queued
SAR SuppState Part B_FINAL_2.22.22.docx Supporting Statement B Uploaded 2022-02-24 Repair queued
SAR SuppState Part A_FINAL_2.24.22.docx Supporting Statement A Uploaded 2022-02-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
10062 State Self-Assessment Review and Report Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
54 54
432 216
0 0





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1
table that charts list of burden
IC Title Form No. Form Name
State Self-Assessment Review and Report 1 CSE Program Self-Assessment Report

table that charts list of burden
  Total Request 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 54 54 0 0 0 0
Annual Time Burden (Hours) 432 216 0 216 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No