Information Collection

Application for Case Management Grant

IC 244669 under ICR 202403-2900-019 · OMB 2900-0554.

Documents and Forms

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Document Name	Document Type

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IC Title:

Application for Case Management Grant

Agency IC Tracking Number:

2900-0554

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 61.0-61.82

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

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-300	300
Annual IC Time Burden (Hours)	-6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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