Information Collection

Center for States

IC 217606 under ICR 201705-0970-010 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Center for States	Form and Instruction
1 Center for States Intensive Capacity Building Project CenterforStates_IntensiveCapacityBuildingProjectProposal_ForOMBApplication_07-20-15.docx	Form and Instruction
FastTrackOMBApplication_IntensiveProjectAssessment_07-20-15.doc FastTrackOMB Application	IC Document

IC Title:

Center for States

Agency IC Tracking Number:

IC Status: Unchanged

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	1	Center for States Intensive Capacity Building Project	CenterforStates_IntensiveCapacityBuildingProjectProposal_ForOMBApplication_07-20-15.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrackOMB Application	FastTrackOMBApplication_IntensiveProjectAssessment_07-20-15.doc	07/22/2015

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