Information Collection

Performance Data Collection for SMP Program Outcome Revised

IC 190518 under ICR 201606-0985-001 · OMB 0985-0024.

Documents and Forms

Document Name Document Type
Form 1 Performance Data Collection for SMP Program Outcome Revised Form
1 SMP Outcome Form OIGSMPTemplate.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Performance Data Collection for SMP Program Outcome Revised	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SMP Outcome Form	OIGSMPTemplate.docx		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	7,452	7,452
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.