Information Collection

93.658

IC 188006 under ICR 201510-0970-007 · OMB 0970-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 93.658	Form and Instruction
CS-0079 PATS output 1-13-09_v1.doc	Other-Program Announcement
1 Program Announcement CATALOG_PROGRAM_TEXT_RPT.mht	Form and Instruction

IC Title:

93.658

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	1	Program Announcement	CATALOG_PROGRAM_TEXT_RPT.mht		No	No	Printable Only
Other-Program Announcement			CS-0079 PATS output 1-13-09_v1.doc		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: 23

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	Previously Approved
Annual Number of Responses for this IC	23	20	3
Annual IC Time Burden (Hours)	1,380	1,200	180
Annual IC Cost Burden (Dollars)	0	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.