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Federal forms, ICRs, and supporting documents

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Instrument 7: Action Planning Form

IC 257328 under ICR 202505-0970-013 · OMB 0970-0605.

Documents and Forms
Document Name
Document Type
Other-Action Planning Form
Other-Action Planning Form
Information Collection (IC) Details

View Information Collection (IC)

Instrument 7: Action Planning Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Action Planning Form Instrument 7_Action Planning Form.Clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

168 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 224 0 0 0 0 224
Annual IC Time Burden (Hours) 56 0 0 0 0 56
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.