Information Collection

Section 704 Annual Performance Report for State Indepenent Living Program Part 1

IC 184900 under ICR 201901-0985-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
ILS PPR Instructions - 2018 Extension P.N. Revised.doc	Instruction
1 Part I Instrument 2017 ILS PPR - Instrument - 2018 Extension.doc	Form

IC Title:

Section 704 Annual Performance Report for State Indepenent Living Program Part 1

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 366 34 CFR 364 34 CFR 365

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			ILS PPR Instructions - 2018 Extension P.N. Revised.doc		Yes	Yes	Fillable Fileable
Form	1	Part I Instrument 2017	ILS PPR - Instrument - 2018 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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	1,960	1,960
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.