OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Add Program and Add User - State Sealant Administrator

IC 238597 under ICR 202309-0920-005 · OMB 0920-1289.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Add Program and Add User - State Sealant Administrator 0920-1289
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1289 SEALS Administration - Child Aggregate Screens 2a. Data Collection Form Electronic.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

 

18 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 18 0 18 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SEAlS Administration -- Add Event - Child/Programs 2b Data Collection Form Paper.docx 10/13/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.