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Federal forms, ICRs, and supporting documents

Information Collection

Standard Long-Term Evaluation

IC 251727 under ICR 202505-0920-002 · OMB 0920-0995.

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

View Information Collection (IC)

Standard Long-Term Evaluation
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Standard Long-Term Evaluation (paper option) Att 11_Standard Long Term Evaluation-2022-11.22.22.docx No   Paper Only
Form and Instruction None Standard Long-Term Evaluation (electronic option) Att 12_ Standard Long-Term Evaluation 2022-Screenshot.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

400 0
   
State, Local, and Tribal Governments
 
   95 %

  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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.