OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Baseline Information Form

IC 216604 under ICR 201505-1291-001 · OMB 1291-0004.

Documents and Forms
Document Name
Document Type
Other-Baseline Information Form
Information Collection (IC) Details

View Information Collection (IC)

Baseline Information Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Baseline Information Form Appendix C1 BIF 5-15.docx No   Paper Only

Community and Social Services Social Services

 

5,500 0
   
Individuals or Households
 
   0 %

  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 5,500 0 5,500 0 0 0
Annual IC Time Burden (Hours) 1,375 0 1,375 0 0 0
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.