Information Collection

Semi-annual progress reports - Government

IC 209821 under ICR 201502-0970-009 · OMB 0970-0444.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0444 can be found here:

Documents and Forms

Document Name Document Type
Form IIB Description of Semi-annual progress reports - Government Form and Instruction
IIB Description of IIB Description of Evidence-Based Practices IIB Description of Evidence-Based Practices.pdf Form and Instruction
IIA Semi-Annual Pr IIA Semi-Annual Progress Report Form IIA Semi-Annual Progress Report Form.pdf Form and Instruction
IIC Description of IIC Description of Other Services and Activities IIC Description of Other Services and Activities.pdf Form and Instruction
IID Description of IID Description of Partnerships IID Description of Partnerships.pdf Form and Instruction
IIE Adherence Form IIE Adherence Form IIE Adherence Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Semi-annual progress reports - Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR B (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	IIB Description of Evidence-Based Practices	IIB Description of Evidence-Based Practices	IIB Description of Evidence-Based Practices.pdf	Yes	Yes	Fillable Printable
Form and Instruction	IIA Semi-Annual Progress Report Form	IIA Semi-Annual Progress Report Form	IIA Semi-Annual Progress Report Form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	IIC Description of Other Services and Activities	IIC Description of Other Services and Activities	IIC Description of Other Services and Activities.pdf	Yes	Yes	Fillable Printable
Form and Instruction	IID Description of Partnerships	IID Description of Partnerships	IID Description of Partnerships.pdf	Yes	Yes	Fillable Printable
Form and Instruction	IIE Adherence Form	IIE Adherence Form	IIE Adherence Form.pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Records maintained on individuals	FR Citation: 5 FR 43

Number of Respondents: 18	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	Previously Approved
Annual Number of Responses for this IC	36	20	16
Annual IC Time Burden (Hours)	297	33	264
Annual IC Cost Burden (Dollars)	0	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.