Information Collection

OAHM Program Documentation of Work Completed Form

IC 254746 under ICR 202411-2528-002 · OMB 2528-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix H. OAHM Program Documentation of Work Completed Form_OAHM_Final.docx	Other-OAHM Program Documentation of
Appendix H. OAHM Program Documentation of Work Completed Form_OAHM_Final.docx	Other-OAHM Program Documentation of
Appendix H. Completed Work Documentation_EOAHMP-C2.DRAFT(clean).docx	Other-Appendix H. Completed Work Doc
Appendix H. Completed Work Documentation_EOAHMP-C2.DRAFT(clean).docx	Other-Appendix H. Completed Work Doc

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-OAHM Program Documentation of Work Completed Form					No		Paper Only
Other-Appendix H. Completed Work Documentation_EOAHMP-C2.DRAFT(clean)					No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	1,125	1,125
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.

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