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Financial Status Reporting Form for Program of State Council on Developmental Disabilities
Financial Status Reporting Form for Program of State Council on Developmental Disabilities
OMB: 0980-0212
IC ID: 10206
OMB.report
HHS/HDSO
OMB 0980-0212
ICR 200603-0980-002
IC 10206
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0212 can be found here:
2009-04-22 - Extension without change 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:
Financial Status Reporting Form for Program of State Council on Developmental Disabilities
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ADD02/SF269-SUP
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
55
0
-55
0
0
110
Annual IC Time Burden (Hours)
440
0
-550
0
0
990
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.