Information Collection

PATH Annual Reports

IC 7600 under ICR 202509-0930-010 · OMB 0930-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0205 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0930-0205 PATH ANN PATH Annual Reports	Form and Instruction
Form 0930-0205 PATH ANN 0930-0205 PATH ANNUAL REPORT Manual PATH Annual Reports	Form and Instruction
0930-0205 PATH ANN 0930-0205 PATH ANNUAL REPORT Manual PATH ANNUAL REPORT Manual.docx	Form and Instruction
0930-0205 PATH ANN 0930-0205 PATH ANNUAL REPORT Manual PATH ANNUAL REPORT Manual.docx	Form and Instruction
0930-0205 PATH Questions.pdf 0930-0205 PATH Questions	IC Document
0930-0205 PATH Questions.pdf 0930-0205 PATH Questions	IC Document

IC Title:

PATH Annual Reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	0930-0205 PATH ANNUAL REPORT Manual				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 493

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	493	493
Annual IC Time Burden (Hours)	7,395	7,395
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0930-0205 PATH Questions		09/23/2025

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

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