Information Collection

Site Visit Data Collection (States)

IC 200110 under ICR 201110-1225-001 · OMB 1225-0089.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0089 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
UCP OMB package -- Parts A-B -- App C -- Master Site Visit Protocol.pdf	Other-Site Visit Protocol

IC Title:

Site Visit Data Collection (States)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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-Site Visit Protocol			UCP OMB package -- Parts A-B -- App C -- Master Site Visit Protocol.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	390	390
Annual IC Time Burden (Hours)	505	505
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.