Information Collection

Application for Client Assistance Program (SC)

IC 21511 under ICR 201001-1820-001 · OMB 1820-0520.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0520 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_cap assurances-FY 2007.doc	Other-Assurances

IC Title:

Application for Client Assistance Program (SC)

Agency IC Tracking Number:

3217

Is this a Common Form? No

IC Status: Removed

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-Assurances			Att_cap assurances-FY 2007.doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-56	56
Annual IC Time Burden (Hours)	-9	9
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.