Information Collection

OHS/OCC Grant Reviewer Pool

IC 222511 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⚠️ Notice: This information collection may be referencing outdated material.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 OHS/OCC Grant Reviewer Pool	Form and Instruction
1 EHS Expansion and EHS-CC Partnerships Survey EHS Expansion and EHS-CC Partnerships_Survey_Revised.pdf	Form and Instruction
GRR Request Form_Submitted (2).pdf Generic IC Request	IC Document

IC Title:

OHS/OCC Grant Reviewer Pool

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	EHS Expansion and EHS-CC Partnerships Survey	EHS Expansion and EHS-CC Partnerships_Survey_Revised.pdf		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: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic IC Request	GRR Request Form_Submitted (2).pdf	07/18/2016

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