Information Collection

Orr-2

IC 201750 under ICR 201203-0970-008 · OMB 0970-0407.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0407 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ORR-2	Form
1 ORR-2 ORR-2 12-11.xlsx	Form
Instructions for ORR-2 3-19-12 (2).doc ORR-2, Instructions	IC Document

IC Title:

ORR-2

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 400.12

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	ORR-2	ORR-2 12-11.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

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	232	232
Annual IC Time Burden (Hours)	348	348
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ORR-2, Instructions	Instructions for ORR-2 3-19-12 (2).doc	03/27/2012

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