Information Collection

Section 704 Annual Performance Report for Centers for Independent Living Program Part II

IC 184901 under ICR 201710-0985-001 · OMB 0985-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Part II - Instructions - 2017 Extension (2).doc	Instruction
1 Section 704 APA Part II Part II - Instrument - 2017 revised Extension.doc	Form

IC Title:

Section 704 Annual Performance Report for Centers for Independent Living Program Part II

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 364-366 (To search for a specific CFR, visit the Code of Federal Regulations.)

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			Part II - Instructions - 2017 Extension (2).doc		Yes	Yes	Fillable Fileable
Form	1	Section 704 APA Part II	Part II - Instrument - 2017 revised Extension.doc		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: 356

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	356	356
Annual IC Time Burden (Hours)	12,460	12,460
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.