OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Staff reports of program service receipt

IC 227922 under ICR 202204-0970-008 · OMB 0970-0506.

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

View Information Collection (IC)

Staff reports of program service receipt
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Staff reports Attachment G Staff Reports of Program Receipt_v9_Part 1_clean.DOC Yes Yes Fillable Fileable

Community and Social Services Social Services

 

20 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 0 0 0 0 0 104,000
Annual IC Time Burden (Hours) 0 0 0 0 0 3,120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment G Staff Reports of Program Receipt - Screen Shots Attachment G Staff Reports of Program Receipt_v7_Part 2.pdf 04/05/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.