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Federal forms, ICRs, and supporting documents

Information Collection

Form for Program Directors to verify key information for selected centers

IC 222988 under ICR 201703-0970-008 · OMB 0970-0493.

Documents and Forms
Document Name
Document Type
Other-Verification doc
Information Collection (IC) Details

View Information Collection (IC)

Form for Program Directors to verify key information for selected centers
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Verification doc Appendix 10. Form for PDs to Verify Selected Centers' Information.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

24 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 24 0 0 0 0 24
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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