Information Collection

Collect eligibility infomation from applicants

IC 220734 under ICR 201603-0970-004 · OMB 0970-0477.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Collect eligibility infomation from applicants	Form and Instruction
1 Fillable Reviewer Information Form for General Reviewer Fillable Reviewer Information Form for General Reveiwer List wmd.docx	Form and Instruction
1 Fillable Reviewer Information Form for Specific Reviewer Fillable Reviewer Information Form for Specific Reviews wmd.docx	Form and Instruction
GRR Request Form OPRE.docx GRR Request Form	IC Document
Overview of OPRE Reviewer Recruitment Information Collection Forms.docx Overview of OPRE Recruitment Requtment Information Collection Form	IC Document

IC Title:

Collect eligibility infomation from applicants

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	Fillable Reviewer Information Form for General Reviewer	Fillable Reviewer Information Form for General Reveiwer List wmd.docx		Yes	Yes	Fillable Printable
Form and Instruction	1	Fillable Reviewer Information Form for Specific Reviewer	Fillable Reviewer Information Form for Specific Reviews wmd.docx		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: 95

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	95	95
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GRR Request Form	GRR Request Form OPRE.docx	03/29/2016
Overview of OPRE Recruitment Requtment Information Collection Form	Overview of OPRE Reviewer Recruitment Information Collection Forms.docx	03/29/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.