OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Funded District Questionnaire

IC 237602 under ICR 202209-0920-014 · OMB 0920-1275.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Funded District Questionnaire
 
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
Form and Instruction None PERS: Funded District Questionnaire Att3_Funded District Qnr Items.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

25 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Example screenshots (PERS: Funded District Questionnaire) Att8a-Funded District Scrn Shot.docx 09/23/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.