Assessing Compliance with Consolidated Annual Contributions Contract (ACC) and Regulatory Insurance Requirements

Documents and Forms

Document Name Document Type
Screen Shot of SURVEY.docx Other-Survey Screen Shot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Assessing Compliance with Consolidated Annual Contributions Contract (ACC) and Regulatory Insurance Requirements	Agency IC Tracking Number:	New

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Part 1320 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Screen Shot			Screen Shot of SURVEY.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: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	300	300
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.