Information Collection

GPRA Client Outcome

IC 187484 under ICR 202509-0930-007 · OMB 0930-0208.

Documents and Forms

Document Name Document Type
Form CSAT GPRA TOOL GPRA Client Outcome Form and Instruction
Form CSAT GPRA TOOL CSAT GPRA TOOL GPRA Client Outcome Form and Instruction
CSAT GPRA TOOL CSAT GPRA TOOL CSAT GPRA Tool Clean Version.pdf Form and Instruction
CSAT GPRA TOOL CSAT GPRA TOOL CSAT GPRA Tool Clean Version.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	GPRA Client Outcome	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CSAT GPRA TOOL	CSAT GPRA TOOL	CSAT GPRA Tool Clean Version.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: CSAT GPRA Outcome Tool	FR Citation: 75 FR 28264

Number of Respondents: 1,007,160	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,007,160	1,007,160
Annual IC Time Burden (Hours)	631,682	631,682
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

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