Information Collection

DCS-6: Quarterly Performance Report

IC 215795 under ICR 201807-0970-003 · OMB 0970-0460.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument_DCS-6HM_QPR_For_HM_Grantees_20180629.docx	Other-QPR HM Grantees
Instrument_DCS-6RF_QPR_For_RF_Grantees_20180629.docx	Other-QPR RF Grantees

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-QPR HM Grantees			Instrument_DCS-6HM_QPR_For_HM_Grantees_20180629.docx		Yes	Yes	Fillable Fileable
Other-QPR RF Grantees			Instrument_DCS-6RF_QPR_For_RF_Grantees_20180629.docx		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: 120

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	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	240	240
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.