DIR Grant Reviewer Recruitment Form

The Division of Independent Review Application Reviewer Recruitment Form

OMB: 0915-0295

IC ID: 6550

Information Collection (IC) Details

View Information Collection (IC)

DIR Grant Reviewer Recruitment Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Updated Burden Statement Screenshot.pdf Updated Burden Statement Screenshot.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

9,700 0
   
Individuals or Households
 
   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 9,700 0 553 0 9,147 0
Annual IC Time Burden (Hours) 1,727 0 -1,119 0 2,846 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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