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Medical-Legal Partnerships Semi-Annual Quantitative Report
Generic Performance Progress Reports
OMB: 0970-0490
IC ID: 277392
OMB.report
HHS/ACF
OMB 0970-0490
ICR 202509-0970-012
IC 277392
( )
Documents and Forms
Document Name
Document Type
Form 1
Medical-Legal Partnerships Semi-Annual Quantitative Report
Form
1 MLP + Quantitative Semi-Annual Report
MLP Semi-Annual Report Form (CLEAN).xlsx
Form
MLP Plus PPR 0970-0490 Submission Template.docx
PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report
IC Document
NonSub Change Request - MLP PPR_9.25.25.docx
NonSub Change - MLP SAR Clarification Edits
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical-Legal Partnerships Semi-Annual Quantitative Report
Agency IC Tracking Number:
OCS
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
1
MLP + Quantitative Semi-Annual Report
MLP Semi-Annual Report Form (CLEAN).xlsx
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:
8
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
16
0
0
0
0
16
Annual IC Time Burden (Hours)
128
0
0
0
0
128
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PPR GenIC - Medical-Legal Partnerships Semi-Annual Quantitative Report
MLP Plus PPR 0970-0490 Submission Template.docx
09/04/2025
NonSub Change - MLP SAR Clarification Edits
NonSub Change Request - MLP PPR_9.25.25.docx
09/25/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.