View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Medical-Legal Partnerships Semi-Annual Quantitative Report	Agency IC Tracking Number:	OCS

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	MLP + Quantitative Semi-Annual Report	SAR form.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 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	16	0	16	0	0	0
Annual IC Time Burden (Hours)	128	0	128	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report	MLP Plus PPR 0970-0490 Submission Template.docx	09/04/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.