OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Success Stories Template

IC 272639 under ICR 202503-0920-022 · OMB 0920-1454.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Success Stories Template 090-24FZ
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24FZ Success Story Template Att 5c. Success Stories Template.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1454 Success Story Template - Revised 18MAR2025 Att 5c. Success Stories Template_revised_clean.docx N/A Yes Yes Fillable Fileable

Health Health Care Services

 

11 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 55 0 0 0 0 55
Annual IC Time Burden (Hours) 55 0 0 0 0 55
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.