Information Collection Request

FAHP Annual Grants State Survey & Quarterly Lookback Analysis

ICR 202609-2125-001 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30Day FRN- FAHP Annual State Survey.pdf Supplementary Document Uploaded 2026-10-21 Available
20261021_Supporting Statement A- Annual Grants State Survey_Qtly Lookback.docx Supporting Statement A Uploaded 2026-10-21 Available
20261001_Washington State Department of Transportation_ver2.pdf Public Comments Uploaded 2026-10-01 Available
20261001_Washington State Department of Transportation.pdf Public Comments Uploaded 2026-10-01 Available
PRA Burden Statement Quarterly Lookback Analysis.docx Supplementary Document Uploaded 2026-09-22 Available
PRA Burden Statement Annual Grants State Survey.docx Supplementary Document Uploaded 2026-09-22 Available
CFR-2014-title2-vol1-sec200-333.pdf Supplementary Document Uploaded 2026-09-22 Available
60Day FRN- FAHP Annual State Survey.pdf Supplementary Document Uploaded 2026-09-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
282528 Quarterly Lookback Instruction New
282371 Annual State Survey Other-State Questionnaire New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
79 0
1,951 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Annual State Survey
Quarterly Lookback

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 79 0 0 79 0 0
Annual Time Burden (Hours) 1,951 0 0 1,951 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No