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Tribal Cooperative Agreements
988 Cooperative Agreements Monitoring Program
OMB: 0930-0394
IC ID: 260135
OMB.report
HHS/SAMHSA
OMB 0930-0394
ICR 202312-0930-001
IC 260135
( )
Documents and Forms
Document Name
Document Type
Form Tribal Govt: Month
Tribal Cooperative Agreements
Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda
0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx
Form and Instruction
Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda
0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx
Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan
0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx
Form and Instruction
Tribal Govt: Quali Tribal Govt: Quality Improvement Plan
0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx
Form and Instruction
Tribal Gov't: Semi Tribal Gov't: Semi-Annual Progress Report
0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx
Form and Instruction
Tribal Gov't: Semi Tribal Gov't: Semi-Annual Progress Report
0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal Cooperative Agreements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Tribal Govt: Monthly Meeting Agenda
Tribal Govt: Monthly Meeting Agenda
0930-0394 988 Tribal Instrument 2 _ Monthly Agenda (FINAL).docx
Yes
Yes
Fillable Fileable
Form and Instruction
Tribal Govt: Quality Improvement Plan
Tribal Govt: Quality Improvement Plan
0930-0394 988 Tribal Instrument 3 _ Quality Improvement Plan (FINAL).docx
Yes
Yes
Fillable Fileable
Form and Instruction
Tribal Gov't: Semi-Annual Progress Report
Tribal Gov't: Semi-Annual Progress Report
0930-0394 988 Tribal Instrument 1 _ Semi-annual Reports FINAL).docx
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:
375
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
375
0
0
0
0
375
Annual IC Time Burden (Hours)
450
0
0
0
0
450
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.