Family Planning Annual Report: Forms and Instructions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0221 can be found here:

Documents and Forms

Document Name Document Type
0990-0221ATTACH_B1_Title X Statute.pdf Other-Info reg.
0990-0221ATTACH_B2_ofp_regs_42cfr59_10-1-2000.pdf Other-reg.
0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision.pdf 0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Planning Annual Report: Forms and Instructions	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Info reg.			0990-0221ATTACH_B1_Title X Statute.pdf		No	No	Printable Only
Other-reg.			0990-0221ATTACH_B2_ofp_regs_42cfr59_10-1-2000.pdf		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88	-1	89
Annual IC Time Burden (Hours)	1,760	-1,177	2,937
Annual IC Cost Burden (Dollars)	0	-1,036,000	1,036,000

Documents for IC

Title	Document	Date Uploaded
0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision	0990-0221ATTACH_C_FPAR_Form and Instructions_2007 Revision.pdf	07/31/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.