Information Collection

State Unit on Aging State Plan on Aging

IC 271562 under ICR 202410-0985-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AoA Form Grant 508 State Plan Guidance Final.docx	Instruction
State Plan AoA Form Grants State Plan Guidance 508_final.docx	Form
Guidance for Developing State Plans on Aging AoA Form Grants State Plan Guidance 508_final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1321

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
Form and Instruction	NA	Guidance for Developing State Plans on Aging	AoA Form Grants State Plan Guidance 508_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,200	1,200
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.