Information Collection

State, Local or Tribal

IC 186489 under ICR 200901-0970-001 · OMB 0970-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0353 can be found here:

Documents and Forms

Document Name Document Type
RPG Data Dictionary.pdf Other-data dictionary
0 survey Data Plan Sample.pdf Form
Data Submission Plans 9-8-08.doc instruction IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State, Local or Tribal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-data dictionary			RPG Data Dictionary.pdf		No	No	Paper Only
Form	0	survey	Data Plan Sample.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31	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	62	62
Annual IC Time Burden (Hours)	10,881	10,881
Annual IC Cost Burden (Dollars)	106,206	106,206

Documents for IC

Title	Document	Date Uploaded
instruction	Data Submission Plans 9-8-08.doc	09/08/2008

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