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OVC Grant Biannual Measures Report
Optimizing Virtual Care Grant Program Performance Measures
OMB: 0906-0075
IC ID: 256719
OMB.report
HHS/HRSA
OMB 0906-0075
ICR 202308-0906-002
IC 256719
( )
Documents and Forms
Document Name
Document Type
Form 2
OVC Grant Biannual Measures Report
Form and Instruction
2 Biannual Measures Report
OVC Biannual Measures Report Template_v6.0_12.8.22_OMB.xlsx
Form and Instruction
2 Biannual Measures Report
OVC Biannual Measures Report Template_v6.0_12.8.22_OMB.xlsx
Form and Instruction
2A OVC Biannual Measures Report Template v7.0.
OVC Biannual Measures Report Template_v7.0.xlsx
Form and Instruction
2A OVC Biannual Measures Report Template v7.0.
OVC Biannual Measures Report Template_v7.0.xlsx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OVC Grant Biannual Measures Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 and Instruction
2
Biannual Measures Report
OVC Biannual Measures Report Template_v6.0_12.8.22_OMB.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
2A
OVC Biannual Measures Report Template v7.0.
OVC Biannual Measures Report Template_v7.0.xlsx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
29
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
58
0
0
0
0
58
Annual IC Time Burden (Hours)
3,242
0
0
0
0
3,242
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.