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Federal forms, ICRs, and supporting documents

Information Collection

Instrument 1: BSC Selection Application Questionnaire

IC 257322 under ICR 202505-0970-013 · OMB 0970-0605.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Instrument 1: BSC Selection Application Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire Instrument 1 BSC App Questionnaire_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

225 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   75 %

  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 75 0 0 0 0 75
Annual IC Time Burden (Hours) 94 0 0 0 0 94
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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