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Medical-Legal Partnerships Semi-Annual Quantitative Report

IC 279712 under ICR 202604-0970-006 · OMB 0970-0490.

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Document Type
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Medical-Legal Partnerships Semi-Annual Quantitative Report
 
Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 MLP + Quantitative Semi-Annual Report MLP Semi-Annual Report Form (CLEAN).xlsx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

8 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested 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 16 0 0 0 0 16
Annual IC Time Burden (Hours) 128 0 0 0 0 128
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PPR GenIC - MLP + Quantitative Semi-Annual Report MLP Plus PPR 0970-0490 Submission Template.docx 03/31/2026
NOA - MLP + Quantitative Semi-Annual Report NOA_OCS - MLP +_Nonsub_PPRGenIC_0970-0490_9.29.25.pdf 03/31/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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