Information Collection

OSHC Progress Report Template

IC 207618 under ICR 201306-2501-004 · OMB 2501-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2501-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OSHC Progress Report Template	Form
OSHC Progress Report Template OSHC Progress Report Template.docx	Form

IC Title:

OSHC Progress Report Template

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	OSHC Progress Report Template	OSHC Progress Report Template.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 151

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	302	302
Annual IC Time Burden (Hours)	453	453
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.