Information Collection

Program Performance Report, Title VI of the Older Americans Act (Grants for Native Americans for Nutritional and Supportive Services)

IC 43737 under ICR 200907-0985-001 · OMB 0985-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TVI instrument.doc	Other-Program Performance Report

IC Title:

Program Performance Report, Title VI of the Older Americans Act (Grants for Native Americans for Nutritional and Supportive Services)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 92 45 CFR 1326 45 CFR 1328

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-Program Performance Report			TVI instrument.doc		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: 246

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	246	245	0	1
Annual IC Time Burden (Hours)	615	137	0	478
Annual IC Cost Burden (Dollars)	270	0	270	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.