Information Collection

Tribal Cooperative Agreements

IC 260135 under ICR 202312-0930-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Month Tribal Cooperative Agreements	Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda 0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx	Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda 0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx	Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan 0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx	Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan 0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx	Form and Instruction
Tribal Gov't: Semi Tribal Gov't: Semi-Annual Progress Report 0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx	Form and Instruction
Tribal Gov't: Semi Tribal Gov't: Semi-Annual Progress Report 0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx	Form and Instruction

IC Title:

Tribal Cooperative Agreements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Tribal Govt: Monthly Meeting Agenda	Tribal Govt: Monthly Meeting Agenda	0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx	Yes	Yes	Fillable Fileable
Form and Instruction	Tribal Govt: Quality Improvement Plan	Tribal Govt: Quality Improvement Plan	0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx	Yes	Yes	Fillable Fileable
Form and Instruction	Tribal Gov't: Semi-Annual Progress Report	Tribal Gov't: Semi-Annual Progress Report	0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx	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	Previously Approved
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.