Information Collection

Orr-6

IC 217172 under ICR 201506-0970-016 · OMB 0970-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ORR-6 ORR-6	Form
ORR-6 Instructions.doc	Instruction
ORR-6 SCHEDULE A Narrative.doc	Instruction
ORR-6 Annual Service Plan Instructions Annual Service Plan Instructions.doc	Form
ORR-6 ORR-6 Annual Services Plan ORR-6 Annual Services Plan.docx	Form
ORR-6 ORR-6 Schedule B ORR-6 Schedule B.xls	Form
ORR-6 ORR-6 Schedule C ORR-6 Schedule C.xls	Form
ORR-6 ORR-6 Schedule D Narrative ORR-6 Schedule D Narrative.doc	Form
ORR-6 ORR-6 Schedule D ORR-6 Schedule D.xls	Form

IC Title:

ORR-6

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORR-6	Annual Service Plan Instructions	Annual Service Plan Instructions.doc	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Annual Services Plan	ORR-6 Annual Services Plan.docx	Yes	Yes	Fillable Printable
Instruction			ORR-6 Instructions.doc	Yes	Yes	Fillable Printable
Instruction			ORR-6 SCHEDULE A Narrative.doc	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Schedule B	ORR-6 Schedule B.xls	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Schedule C	ORR-6 Schedule C.xls	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Schedule D Narrative	ORR-6 Schedule D Narrative.doc	Yes	Yes	Fillable Fileable
Form	ORR-6	ORR-6 Schedule D	ORR-6 Schedule D.xls	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	150	150
Annual IC Time Burden (Hours)	582	582
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.