Information Collection

Application for Client Assistance Program (SC)

IC 21511 under ICR 200610-1820-002 · OMB 1820-0520.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0520 can be found here:

Documents and Forms

Document Name Document Type
Att_cap assurances-FY 2007.doc Other-Assurances

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Client Assistance Program (SC)	Agency IC Tracking Number:	3217

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
Other-Assurances			Att_cap assurances-FY 2007.doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	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.