Information Collection

Request for Participation Letter

IC 189528 under ICR 201812-0970-002 · OMB 0970-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ASR 2018- Appendix B - Letter of Introduction.doc	Other-Request for Participation
ASR 2018- Appendix C - 2018 Postcard_English.docx Appendix C - 2018 Postcard	IC Document

IC Title:

Request for Participation Letter

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Request for Participation			ASR 2018- Appendix B - Letter of Introduction.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix C - 2018 Postcard	ASR 2018- Appendix C - 2018 Postcard_English.docx	12/04/2018

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