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Data Collection - State Program Report For Title Iii Of The Older Americans Act
DATA COLLECTION - STATE PROGRAM REPORT FOR TITLE III OF THE OLDER AMERICANS ACT
OMB: 0980-0199
IC ID: 116375
OMB.report
HHS/HDSO
OMB 0980-0199
ICR 199104-0980-001
IC 116375
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0199 can be found here:
1996-05-31 - Reinstatement with change of a previously approved collection
1994-09-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DATA COLLECTION - STATE PROGRAM REPORT FOR TITLE III OF THE OLDER AMERICANS ACT
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
STATE
No
No
Form
REPORT
No
No
Form
TITLE III
No
No
Form
PROGRAM
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
57
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
57
0
2
-4
0
59
Annual IC Time Burden (Hours)
1,026
0
28
-62
0
1,060
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.