Information Collection

HAVA Annual Report - States

IC 198249 under ICR 201205-0985-009 · OMB 0985-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0032 can be found here:

Documents and Forms

Document Name Document Type
SOS-HAVAnarrativereportformat&guidelinesforOMBCLEARANCE7.27.2011.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HAVA Annual Report - States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			SOS-HAVAnarrativereportformat&guidelinesforOMBCLEARANCE7.27.2011.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	2,750	2,750
Annual IC Cost Burden (Dollars)	4,125	4,125

Documents for IC

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