View Information Collection (IC)
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View Information Collection (IC)

Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Yes Yes Fillable Fileable

Community and Social Services Social Services

 

114 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 228 0 134 0 0 94
Annual IC Time Burden (Hours) 983 0 -427 0 0 1,410
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ADSSP Definitions 05/20/2010
Draft Definition of Terms for OMB 12/30/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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