Information Collection

Annual Performance Report for the State Grant for Assistive Technology Program

IC 245267 under ICR 202310-0985-006 · OMB 0985-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0042 AT APR Instruction Manual Final 508.pdf	Instruction
0042 AT APR Instruction Manual Final 508.pdf	Instruction
AT APR 0042 AT APR Instrument Final 508.docx	Form
AT APR 0042 AT APR Instrument Final 508.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Instruction			0042 AT APR Instruction Manual Final 508.pdf		Yes	Yes	Fillable Fileable
Form	NA	AT APR	0042 AT APR Instrument Final 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	22,624	22,624
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.