OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector

IC 211724 under ICR 202606-0915-001 · OMB 0915-0386.

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

View Information Collection (IC)

Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector
 
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 1 Performance Improvement Measurement System (PIMS) - Delta States Form - 0915-0386 - FORHP - Delta States - Revision 05202026.docx Yes Yes Fillable Fileable

Health Health Care Services

 

9 9
   
Private Sector Not-for-profit institutions
 
   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 9 0 1 0 0 8
Annual IC Time Burden (Hours) 655 0 639 0 0 16
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.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].