Information Collection

Fvpsa Tribal Performance Report

IC 186809 under ICR 200810-0970-001 · OMB 0970-0280.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0280 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 FVPSA TRIBAL PERFORMANCE REPORT	Form and Instruction
1 Tribal Performace Report ACF-FYSB-FVPSA Tribal SF-PPR Sample July 25 08.doc	Form and Instruction

IC Title:

FVPSA TRIBAL PERFORMANCE REPORT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1370

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 and Instruction	1	Tribal Performace Report	ACF-FYSB-FVPSA Tribal SF-PPR Sample July 25 08.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: 200

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	200	200
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.