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

View Information Collection (IC)

Application data for public-sector organizations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0909 NA Yes Yes Fillable Fileable

Health Health Care Services

 

150 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 150 0 10 0 0 140
Annual IC Time Burden (Hours) 150 0 10 0 0 140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Home Page Screenshot 09/18/2014
DPRP Confirmation Page Screenshot 09/25/2014
DPRP Confirmation Email 09/25/2014
DPRP Application Acceptance Email 09/25/2014
DPRP Application Rejection Email 09/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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