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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OHS/OCC Grant Reviewer Pool	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.