Information Collection

States and Tribes Capacity Buidling Program

IC 192484 under ICR 201009-0970-004 · OMB 0970-0376.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 States and Tribes Capacity Buidling Program	Form
1 Performance Report Performance_Progress_Report_SCF_Government_Offline_Version 8-20-2010.doc	Form
Web Page SCF-GOV SF-PPR 8-20-2010.docx Instructions	IC Document

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Performance Report	Performance_Progress_Report_SCF_Government_Offline_Version 8-20-2010.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 49

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
	Approved	Previously Approved
Annual Number of Responses for this IC	196	196
Annual IC Time Burden (Hours)	196	196
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions	Web Page SCF-GOV SF-PPR 8-20-2010.docx	09/07/2010

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