Information Collection

Emergency Capital Repair Grant Program

IC 209384 under ICR 201308-2502-006 · OMB 2502-0542.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 50080ercp ALCP Payment Voucher Emergency Capital Grant Program Emergency Capital Repair Grant Program	Form
Form SF-425 Federal Financial Report Emergency Capital Repair Grant Program	Form and Instruction
50080ercp ALCP Payment Voucher Emergency Capital Grant Program 50080ecrp.pdf	Form
SF-425 Federal Financial Report SF-425.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 5.105a

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	50080ercp				Yes	Yes	Fillable Fileable
Form and Instruction	SF-425				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: 6

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	20	20
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.

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