Information Collection

Medical-Legal Partnerships Semi-Annual Quantitative Report

IC 277392 under ICR 202512-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Medical-Legal Partnerships Semi-Annual Quantitative Report	Form
Form 1 MLP + Quantitative Semi-Annual Report Medical-Legal Partnerships Semi-Annual Quantitative Report	Form
1 MLP + Quantitative Semi-Annual Report MLP Semi-Annual Report Form (CLEAN).xlsx	Form
1 MLP + Quantitative Semi-Annual Report MLP Semi-Annual Report Form (CLEAN).xlsx	Form
MLP Plus PPR 0970-0490 Submission Template.docx PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report	IC Document
MLP Plus PPR 0970-0490 Submission Template.docx PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report	IC Document
NonSub Change Request - MLP PPR_9.25.25.docx NonSub Change - MLP SAR Clarification Edits	IC Document
NonSub Change Request - MLP PPR_9.25.25.docx NonSub Change - MLP SAR Clarification Edits	IC Document

IC Title:

Medical-Legal Partnerships Semi-Annual Quantitative Report

Agency IC Tracking Number:

OCS

IC Status: Unchanged

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
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
NonSub Change - MLP SAR Clarification Edits		09/25/2025

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

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