Information Collection

Performance Data Collection for SMP Program Outcome Revised

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Performance Data Collection for SMP Program Outcome Revised	Form
1 SMP Outcome Form OIGSMPTemplate.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	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 %

table that charts list of burden
	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

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.