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Performance Data Collection for SMP Program Outcome Revised
Performance Data Collection for SMP Program Outcome
OMB: 0985-0024
IC ID: 190518
OMB.report
HHS/ACL
OMB 0985-0024
ICR 201211-0985-002
IC 190518
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0024 can be found here:
2016-06-23 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 1
Performance Data Collection for SMP Program Outcome Revised
Form
1 SMP Outcome Form
OIGSMPTemplate.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Performance Data Collection for SMP Program Outcome Revised
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
SMP Outcome Form
OIGSMPTemplate.docx
No
No
Fillable Printable
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:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
54
0
-54
0
0
108
Annual IC Time Burden (Hours)
7,452
0
-7,452
0
0
14,904
Annual IC Cost Burden (Dollars)
0
0
0
0
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.