View Information Collection (IC)

View Information Collection (IC)

Parent Program Manager TA Tracking Form
No Unchanged

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Parent Program Manager (PPM) Technical Assistance Tracking form Atmt LLLL - Parent_Program_Manager_TA_Tracking_ Form.docx Yes No Paper Only

Health Health Care Services


4 0
Individuals or Households
   20 %

  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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 33 0 0 0 0 33
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.