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Application Guidelines For Designation And Grant Award And Reporting System For Shpdas
APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS
OMB: 0915-0058
IC ID: 110178
OMB.report
HHS/HSA
OMB 0915-0058
ICR 198409-0915-003
IC 110178
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0058 can be found here:
1985-11-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
HRA-281-1
No
No
Form
HRA-281-2
No
No
Form
HRA-T34
No
No
Form
HRSA-903
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
57
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 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
133
0
0
0
0
133
Annual IC Time Burden (Hours)
7,581
0
0
0
0
7,581
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.