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State Program Report for Titles III and VII of the Older Americans Act
State Program Report for Titles III and VII of the Older Americans Act
OMB: 0985-0008
IC ID: 10260
OMB.report
HHS/ACL
OMB 0985-0008
ICR 201911-0985-001
IC 10260
( )
Documents and Forms
Document Name
Document Type
State Program Report for Titles III and VII of the Older Americans Act
Form and Instruction
SPR Form
0985-0008 SPR_Form_2019.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Program Report for Titles III and VII of the Older Americans Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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 and Instruction
NA
SPR Form
0985-0008 SPR_Form_2019.docx
Yes
Yes
Fillable Fileable
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:
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
0
-1
0
56
Annual IC Time Burden (Hours)
2,750
0
874
0
0
1,876
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.