Information Collection

Quarterly Performance Report and Supplement to First Report

IC 189112 under ICR 200905-2506-002 · OMB 2506-0186.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0186 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Data Elements.docx	Other-Data Elements
Data Standards Comments and Responses 060409.doc Data Standards Comments Summarized with Responses	IC Document
Revised Standards Final 06-05-09.doc Revised Standards	IC Document

IC Title:

Quarterly Performance Report and Supplement to First Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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
Other-Data Elements			Data Elements.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 540

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,160	2,160
Annual IC Time Burden (Hours)	113,652	113,652
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Standards Comments Summarized with Responses	Data Standards Comments and Responses 060409.doc	06/16/2009
Revised Standards	Revised Standards Final 06-05-09.doc	06/16/2009

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