Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 237947 under ICR 201703-0970-007 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FInal Instructions for ECSH Data Indicators_zc2.docx	Instruction
1 ECSH Data Indicators Final ECSH Data Indicators.xlsx	Form
Final Justification template for PPR Gen IC_zc2.docx Generic PPR Submission Form - ECSH Program Data Indicators	IC Document

IC Title:

Ethnic Community Self-Help (ECSH) Program Data Indicators

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Instruction			FInal Instructions for ECSH Data Indicators_zc2.docx		Yes	Yes	Fillable Printable
Form	1	ECSH Data Indicators	Final ECSH Data Indicators.xlsx		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: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - ECSH Program Data Indicators	Final Justification template for PPR Gen IC_zc2.docx	10/01/2019

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