Information Collection

FI PPR Short Form

IC 221321 under ICR 201605-0970-001 · OMB 0970-0483.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0483 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 FI PPR Short Form	Form and Instruction
1 AFI Short Form OCS-0292 AFI Information Collection Instrument SHORT form.docx	Form and Instruction

IC Title:

FI PPR Short Form

Agency IC Tracking Number:

Is this a Common Form? No

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	AFI Short Form	OCS-0292 AFI Information Collection Instrument SHORT form.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: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	900	900
Annual IC Time Burden (Hours)	450	450
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.