Information Collection

Tribal Cooperative Agreements

IC 260135 under ICR 202305-0930-001 · OMB 0930-0394.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0394 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Tribal Govt: Semi Tribal Cooperative Agreements	Form and Instruction
Form Tribal Govt: Semi Tribal Govt: Semi Annual Progress Report Tribal Cooperative Agreements	Form and Instruction
Form Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda Tribal Cooperative Agreements	Form and Instruction
Form Tribal Govt: Quali Tribal Govt: Quality Improvement Plan Tribal Cooperative Agreements	Form and Instruction
Tribal Govt: Semi Tribal Govt: Semi Annual Progress Report 988 Tribal Instrument 1 _ Semi-annual Reports 4.5.23.docx	Form and Instruction
Tribal Govt: Semi Tribal Govt: Semi Annual Progress Report 988 Tribal Instrument 1 _ Semi-annual Reports 4.5.23.docx	Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda 988 Tribal Instrument 2 _ Monthly Agenda 4.5.23.docx	Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda 988 Tribal Instrument 2 _ Monthly Agenda 4.5.23.docx	Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan 988 Tribal Instrument 3 _ Quality Improvement Plan 4.5.23.docx	Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan 988 Tribal Instrument 3 _ Quality Improvement Plan 4.5.23.docx	Form and Instruction

IC Title:

Tribal Cooperative Agreements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Tribal Govt: Semi Annual Progress Report	Yes	Yes	Fillable Fileable
Form and Instruction	Tribal Govt: Monthly Meeting Agenda	Yes	Yes	Fillable Fileable
Form and Instruction	Tribal Govt: Quality Improvement Plan	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)

FR Citation: 75 FR 28264

Number of Respondents: 375

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	375	375
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	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.

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