OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Summary of Estimated Annualized Respondent (State Consultation Program) Hour and Cost Burden

IC 259860 under ICR 202304-1218-003 · OMB 1218-0281.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
PSM Evaluation Worksheet.docx Other-Worksheet
PSM Evaluation Worksheet.docx Other-Worksheet
Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx Other-Worksheet
Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx Other-Worksheet
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx Other-Worksheet
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx Other-Worksheet
Apx L-2 PSM SHARP Self-Eval.docx Instruction
Apx L-2 PSM SHARP Self-Eval.docx Instruction
Apx L-3 Determining Applicability of PSM.docx Instruction
Apx L-3 Determining Applicability of PSM.docx Instruction
Apx M Incident Invest Rep Template (CPPM doc).docx Other-Worksheet
Apx M Incident Invest Rep Template (CPPM doc).docx Other-Worksheet
Table C-1 Optional PSM Wksht.docx Other-Worksheet
Table C-1 Optional PSM Wksht.docx Other-Worksheet
Table C-2 Optional PSM Wksht.docx Other-Worksheet
Table C-2 Optional PSM Wksht.docx Other-Worksheet
Table D Optional PSM Wksht.docx Other-Worksheet
Table D Optional PSM Wksht.docx Other-Worksheet
Table E Optional PSM Wksht.docx Other-Worksheet
Table E Optional PSM Wksht.docx Other-Worksheet
Table M Optional PSM Wksht.docx Other-Worksheet
Table M Optional PSM Wksht.docx Other-Worksheet

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Worksheet PSM Evaluation Worksheet.docx No   Fillable Printable
Other-Worksheet Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx No   Fillable Printable
Other-Worksheet Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx No   Fillable Printable
Other-Worksheet Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx No   Fillable Printable
Instruction Apx L-2 PSM SHARP Self-Eval.docx No   Printable Only
Instruction Apx L-3 Determining Applicability of PSM.docx No   Printable Only
Other-Worksheet Apx M Incident Invest Rep Template (CPPM doc).docx No   Fillable Printable
Other-Worksheet Table C-1 Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table C-2 Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table D Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table E Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table M Optional PSM Wksht.docx No   Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 2,844 0 2,844 0 0 0
Annual IC Time Burden (Hours) 9,258 0 9,258 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.