Information Collection

PATH Annual Reports

IC 7600 under ICR 202312-0930-004 · OMB 0930-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0205 can be found here:

Documents and Forms

Document Name Document Type
Form 0930-0205 PATH ANN PATH Annual Reports Form and Instruction
Form 0930-0205 PATH ANN PATH Annual Reports Form and Instruction
0930-0205 PATH ANN 0930-0205 PATH ANNUAL REPORT Manual 0930-0205 PATH ANNUAL REPORT Manual.docx Form and Instruction
0930-0205 PATH ANN 0930-0205 PATH ANNUAL REPORT Manual 0930-0205 PATH ANNUAL REPORT Manual.docx Form and Instruction
0930-0205 PATH Questions.pdf 0930-0205 PATH Questions IC Document
0930-0205 PATH Questions.pdf 0930-0205 PATH Questions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PATH Annual Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0930-0205 PATH ANNUAL REPORT Manual	0930-0205 PATH ANNUAL REPORT Manual	0930-0205 PATH ANNUAL REPORT Manual.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 493	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	493	493
Annual IC Time Burden (Hours)	7,395	7,395
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0930-0205 PATH Questions	0930-0205 PATH Questions.pdf	03/21/2023

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