Information Collection

Administrative Review Report (sponsor) And Civil Rights Racial Data Collection Form For Administrative Review Report (site)

IC 102819 under ICR 198608-0584-009 · OMB 0584-0023.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

ADMINISTRATIVE REVIEW REPORT (SPONSOR) AND CIVIL RIGHTS RACIAL DATA COLLECTION FORM FOR ADMINISTRATIVE REVIEW REPORT (SITE)

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS 19-1				No	No
Form	19-2				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,157

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,157	4,157
Annual IC Time Burden (Hours)	36,027	36,027
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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