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Supported Employment Program (SEP) Programmatic Progress Report (PPR)
Generic Clearance for Grant Program Monitoring Activities
OMB: 0930-0395
IC ID: 264639
OMB.report
HHS/SAMHSA
OMB 0930-0395
ICR 202306-0930-004
IC 264639
( )
Documents and Forms
Document Name
Document Type
Form CMHS PPR Template
Supported Employment Program (SEP) Programmatic Progress Report (PPR)
Form and Instruction
CMHS PPR Template CMHS PPR Template
CMHS PPR Template - SEP_2023_1_Form.pdf
Form and Instruction
0930-0395 - SEP_2023_1.docx
SEP PPR Grants Generic Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supported Employment Program (SEP) Programmatic Progress Report (PPR)
Agency IC Tracking Number:
IC Status:
New
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
CMHS PPR Template
CMHS PPR Template
CMHS PPR Template - SEP_2023_1_Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)
FR Citation:
75 FR 28264
Number of Respondents:
6
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
30
0
30
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SEP PPR Grants Generic Template
0930-0395 - SEP_2023_1.docx
01/24/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.