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REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award)

IC 250818 under ICR 202205-0990-001 · OMB 0990-0390.

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Form and Instruction
Form and Instruction
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REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award) 0990-0390
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0990-0390 2022 REACH Lark Award Application 12_1_2021_0990-0390 REACH Lark Award Application_QUESTIONNAIRE.docx NA Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

20 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0390 GenIC Request Template Revised 0990-0390 Lark Award Generic HHS Clearance Request.docx 12/16/2021
Full Posting Challenge.gov Template 10.28_2021_Full Posting Challenge.gov_OMB Draft_.docx 12/16/2021
REACH Lark Award FRN REACH_LARK Award Challenge FRN.docx 12/16/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.