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Community Based Dental Partnership Program (State/Local/Tribal)

IC 279254 under ICR 202602-0915-001 · OMB 0915-0151.

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Document Name
Document Type
Form
Form
Form
Form
Information Collection (IC) Details

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Community Based Dental Partnership Program (State/Local/Tribal)
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 Community Based Dental Partnership Program (CBDPP) 0915-0151 - Community Based Dental Partnership Program - DSR - Revision - 02172026.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

7 0
   
State, Local, and Tribal Governments
 
   100 %

  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 7 0 7 0 0 0
Annual IC Time Burden (Hours) 11 0 11 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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