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

View Information Collection (IC)

PHHS Block Grant Management Information System (BG-MIS) Work Plan
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Fillable Printable

Health Public Health Monitoring

 

61 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 61 0 0 0 0 61
Annual IC Time Burden (Hours) 1,220 0 -305 0 0 1,525
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 4C Summary of Changes 06/01/2011
Att 4B Work Plan Guidance 06/01/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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