Information Collection

NAMRS Case Component

IC 223105 under ICR 201608-0985-002 · OMB 0985-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0054 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 NAMRS Case Component	Form and Instruction
3 NAMRS Case Component NAMRS Case Component Data Specifications_Attachment C_06092016.docx	Form and Instruction
NAMRS Definitions of Code Values_Attachment D_06092016.docx NAMRS Definition of Code Values	IC Document

IC Title:

NAMRS Case Component

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	3	NAMRS Case Component	NAMRS Case Component Data Specifications_Attachment C_06092016.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NAMRS Definition of Code Values	NAMRS Definitions of Code Values_Attachment D_06092016.docx	08/18/2016

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