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Federal forms, ICRs, and supporting documents

Information Collection

Aim 2a Cohort HIPAA Form (English & Spanish)

IC 263122 under ICR 202601-0920-013 · OMB 0920-1423.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Aim 2a Cohort HIPAA Form (English & Spanish) 0920-22GA
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22GA Att 4h_Aim2aCohortHIPAAFormEnglish Att_4h_Aim2aCohortHIPAAFormEnglish[1].docx Yes Yes Fillable Fileable
Form and Instruction 0920-22GA Att 4h_Aim2aCohortHIPAAFormSpanish Att_4h_Aim2aCohortHIPAAFormSpanish[1].docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

134 0
   
Individuals or Households
 
   0 %

  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 134 0 0 0 0 134
Annual IC Time Burden (Hours) 11 0 0 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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