Information Collection

Instructions for Completion of Federal Assistance Application for SSA Research and Demonstration Grant Programs

IC 43699 under ICR 200606-0960-015 · OMB 0960-0184.

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Information Collection (IC) Details

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IC Title:	Instructions for Completion of Federal Assistance Application for SSA Research and Demonstration Grant Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-96				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	600	200
Annual IC Time Burden (Hours)	11,200	8,400	2,800
Annual IC Cost Burden (Dollars)	0	0	0

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