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Federal forms, ICRs, and supporting documents

Information Collection Request

COMMON REPORTING REQUIREMENTS FOR URBAN INDIAN HEALTH PROGRAMS

ICR 199102-0917-001 · OMB 0917-0007 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110449 COMMON REPORTING REQUIREMENTS FOR URBAN INDIAN HEALTH PROGRAMS Migrated
ICR Details
0917-0007 199102-0917-001
Historical Active 198806-0917-005
HHS/IHS
COMMON REPORTING REQUIREMENTS FOR URBAN INDIAN HEALTH PROGRAMS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/25/1991
Retrieve Notice of Action (NOA) 02/28/1991
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994
68 0 0
640 0 0
0 0 0
CONGRESS HAS MANDATED THAT STANDARD REPORTING REQUIREMENTS BE ESTABLISHED FOR 35 URBAN INDIAN HEALTH PROGRAMS. DATA COLLECTED ARE USED FOR CONTRACT MONITORING PURPOSES, REPORTS TO CONGRESS, AND ESTABLISHING PERFORMANCE INDICATORS
None
None
No
1
IC Title Form No. Form Name
COMMON REPORTING REQUIREMENTS FOR URBAN INDIAN HEALTH PROGRAMS
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 68 0 0 0 68 0
Annual Time Burden (Hours) 640 0 0 0 640 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/28/1991