Information Collection

ECSH Data Indicators

IC 223539 under ICR 201609-0970-003 · OMB 0970-0491.

Documents and Forms

Document Name Document Type
Form 1 ECSH Data Indicators Form and Instruction
1 ECSH Data Indicators for OMB-approval. The ECSH Data Ind FINAL ECSH Data Indicators.docx Form and Instruction
HHS-2016-ACF-ORR-RE-1129_1.pdf FOA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ECSH Data Indicators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	ECSH Data Indicators for OMB-approval. The ECSH Data Indicators	FINAL ECSH Data Indicators.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: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FOA	HHS-2016-ACF-ORR-RE-1129_1.pdf	09/14/2016

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