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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
UCP OMB package -- Parts A-B -- App C -- Master Site Visit Protocol.pdf Other-Site Visit Protocol

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.