PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Childcare Application Forms
Modified
2100
1050
23499
Form and Instruction
1
Provider Application
Form and Instruction
2
Member Application
Form and Instruction
3
Childcare Attendance Sheet
Form and Instruction
4
Statement of Work Activity
Form and Instruction
5
Member Update Form
Form and Instruction
6
Childcare Payment Authorization
Form and Instruction
7
AmeriCorps Unlicensed Provider Affidavit
Form and Instruction
8
Program Certification of Active Service
Total burden requested under this ICR:
2100
1050
23499
To view an IC, click on IC Title