Information Collection

Table of Activities

IC 182159 under ICR 200709-0970-004 · OMB 0970-0271.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0271 can be found here:

Documents and Forms

Document Name Document Type
SF-PPR-D Table of Activities.doc Other-intsrument

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Table of Activities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-intsrument			SF-PPR-D Table of Activities.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	4,720	4,720
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.