Information Collection

Developmental Disabilities State Plan

IC 10192 under ICR 202303-0985-003 · OMB 0985-0029.

Documents and Forms

Document Name Document Type
Developmental Disabilities State Plan Form and Instruction
DDC State Plan Template 0029 DDC State Plan Template_508.pdf Form and Instruction
DDC State Plan Template 0029 DDC State Plan Template_508.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Developmental Disabilities State Plan	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1386.31

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	DDC State Plan Template	0029 DDC State Plan Template_508.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	20,552	20,552
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.