OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Bundled Evaluation

IC 269085 under ICR 202503-3045-007 · OMB 3045-0202.

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

View Information Collection (IC)

Bundled Evaluation
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PRBE Bundled Evaluation - Puerto Rico 0202 - PR Bundle Instruments Combined_EDITED-Clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

697 0
   
Individuals or Households
 
   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 697 0 0 0 0 697
Annual IC Time Burden (Hours) 530 0 0 0 0 530
Annual IC Cost Burden (Dollars) 7,825 0 0 0 0 7,825

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.
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