OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

5 - B3-specific enrollment data (Applicant)

IC 220974 under ICR 201710-0970-002 · OMB 0970-0485.

Documents and Forms
Document Name
Document Type
Other-Enrollment data
Information Collection (IC) Details

View Information Collection (IC)

5 - B3-specific enrollment data (Applicant)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Enrollment data 5 - B3-specific enrollment data.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

900 0
   
Individuals or Households
 
   0 %

  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 900 0 0 0 0 900
Annual IC Time Burden (Hours) 138 0 0 0 0 138
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.