Information Collection

One Protection and Advocacy Annual Program Performance Report

IC 234853 under ICR 201902-0985-003 · OMB 0985-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0063 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
One Protection and Advocacy Annual Program Performance Report	Form
One PPR Guidance.docx	Instruction
One PPR Template One PPR Template.docx	Form

IC Title:

One Protection and Advocacy Annual Program Performance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1386.22

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	NA	One PPR Template	One PPR Template.docx		Yes	Yes	Fillable Fileable
Instruction			One PPR Guidance.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: 57

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	7,296	7,296
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.