Information Collection

Five-Year Regional Workplan Template FY2024-2030

IC 267494 under ICR 202405-0920-003 · OMB 0920-1437.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1437 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-24EZ Five-Year Regional Workplan Template FY2024-2030 Form
0920-24EZ Att3 - 5-year Regional Workplan Template Att3 - 5-year Regional Workplan Template.docx Form
0920-24EZ Att3 - 5-year Regional Workplan Template Att3 - 5-year Regional Workplan Template v2.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Five-Year Regional Workplan Template FY2024-2030	Agency IC Tracking Number:	0920-24EZ

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR U.S.C. 247D-6 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-24EZ	Att3 - 5-year Regional Workplan Template	Att3 - 5-year Regional Workplan Template v2.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.