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OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA
OAA Title III-C Evaluation of the Elderly Nutrition Services Program
OMB: 0985-0037
IC ID: 207134
OMB.report
HHS/ACL
OMB 0985-0037
ICR 201612-0985-002
IC 207134
( )
Documents and Forms
Document Name
Document Type
Form 1
OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA
Form and Instruction
1 ENSP Evaluation State Unit on Aging collection
ENSP_Eval_DataCollection_PartB_AppendixC.pdf
Form and Instruction
PartB-AppB-11-27-12.pdf
PartB-AppB-11-27-12
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OAA Title III-C Elderly Nutrition Services Program Evaluation - SUA
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
ENSP Evaluation State Unit on Aging collection
ENSP_Eval_DataCollection_PartB_AppendixC.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
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
56
0
0
0
0
56
Annual IC Time Burden (Hours)
94
0
0
0
0
94
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PartB-AppB-11-27-12
PartB-AppB-11-27-12.pdf
05/17/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.