Information Collection

Medical-Legal Partnerships Semi-Annual Quantitative Report

IC 277392 under ICR 202508-0970-004 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 MLP + Quantitative Semi-Annual Report Medical-Legal Partnerships Semi-Annual Quantitative Report	Form
1 MLP + Quantitative Semi-Annual Report SAR form.docx	Form
MLP Plus PPR 0970-0490 Submission Template.docx PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report	IC Document

IC Title:

Medical-Legal Partnerships Semi-Annual Quantitative Report

Agency IC Tracking Number:

OCS

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report		09/04/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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