Information Collection

The AIM Biannual Survey Report

IC 267119 under ICR 202404-0915-003 · OMB 0915-0397.

Documents and Forms

Document Name Document Type
Form 1 The AIM Biannual Survey Report Form and Instruction
1 AIM Biannual Report REVISED-Attachment A-AIM Biannual Report-Proposed Final-Clean.docx Form and Instruction
1 AIM Biannual Report REVISED-Attachment A-AIM Biannual Report-Proposed Final-Clean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The AIM Biannual Survey Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	1	AIM Biannual Report	REVISED-Attachment A-AIM Biannual Report-Proposed Final-Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	104	104
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.