Information Collection

Universal Hiring Grant Program Application

IC 11595 under ICR 199810-1103-005 · OMB 1103-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0027 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Universal Hiring Grant Program Application	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,200	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 Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	17,600	17,600
Annual IC Cost Burden (Dollars)	176,000	176,000

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.