Information Collection

Application

IC 181465 under ICR 200903-0970-003 · OMB 0970-0326.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0326 can be found here:

Documents and Forms

Document Name Document Type
Protection&Advocacy annual report guidelines.doc Other-instrument
0970-0326 PA Application PA APPLICATION (2).doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application	Agency IC Tracking Number:

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-instrument			Protection&Advocacy annual report guidelines.doc		No	No	Paper Only
Form	0970-0326	PA Application	PA APPLICATION (2).doc		No	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	55	0	55
Annual IC Time Burden (Hours)	1,100	220	880
Annual IC Cost Burden (Dollars)	0	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.