OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Grant Report

IC 254635 under ICR 202210-0915-006 · OMB 0915-0298.

Documents and Forms
Document Name
Document Type
Other-Reporting Requirement/Performa
Other-Reporting Requirement/Performa
Other-Crosswalk Table
Other-Crosswalk Table
Other-Reporting Requirement/Performa
Other-Reporting Requirement/Performa
Other-Reporting Requirement/Performa
Other-Reporting Requirement/Performa
Information Collection (IC) Details

View Information Collection (IC)

Grant Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Reporting Requirement/Performance Measure Attachment B - Measures and Detail Sheets_Clean.docx Yes Yes Fillable Fileable
Other-Crosswalk Table Attachment B1 - Crosswalk Table.docx Yes Yes Fillable Fileable
Other-Reporting Requirement/Performance Measure Attachment C - Financial and Demographic Data Elements_Clean.docx Yes Yes Fillable Fileable
Other-Reporting Requirement/Performance Measure Attachment D - Additional Data Elements_Clean.docx Yes Yes Fillable Fileable

Health Health Care Services

 

700 0
   
State, Local, and Tribal Governments
 
   100 %

  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 700 0 0 0 0 700
Annual IC Time Burden (Hours) 25,200 0 0 0 0 25,200
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.