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Annual Performance Report for the State Grant for Assistive Technology Program
Annual Performance Report for the State Grant for Assistive Technology Program
OMB: 0985-0042
IC ID: 245267
OMB.report
HHS/ACL
OMB 0985-0042
ICR 202310-0985-006
IC 245267
( )
Documents and Forms
Document Name
Document Type
0042 AT APR Instruction Manual Final 508.pdf
Instruction
0042 AT APR Instruction Manual Final 508.pdf
Instruction
AT APR
0042 AT APR Instrument Final 508.docx
Form
AT APR
0042 AT APR Instrument Final 508.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Performance Report for the State Grant for Assistive Technology Program
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
Instruction
0042 AT APR Instruction Manual Final 508.pdf
Yes
Yes
Fillable Fileable
Form
NA
AT APR
0042 AT APR Instrument Final 508.pdf
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:
56
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
56
0
0
0
0
56
Annual IC Time Burden (Hours)
22,624
0
0
0
0
22,624
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.