Advance Letter

The Community Choice Demonstration

OMB: 2528-0337

IC ID: 262902

Information Collection (IC) Details

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Advance Letter
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Advance Letter Attachment J.2_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment_Advance Letter.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

1,285 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 2,570 0 2,570 0 0 0
Annual IC Time Burden (Hours) 206 0 206 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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