Information Collection

Orr-6

IC 232479 under ICR 201905-0970-004 · OMB 0970-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0036 can be found here:

Documents and Forms

Document Name Document Type
Form ORR-6 ORR-6 Form
PRA_ORR-6 Schedule A_Narrative.docx Instruction
PRA_ORR-6 Schedule E_URM Narrative.docx Instruction
PRA_ORR-6_Annual Service Plan Instructions_WF NonSub Change_clean.doc Instruction
PRA_ORR-6_Instructions Exp 02.28.2022 Final - May 2019 update.docx Instruction
ORR-6 ORR-6 Schedule B PRA_ORR-6 Schedule B Exp 02.28.2022_WF NonSub Change_clean.xlsx Form
ORR-6 Schedule C PRA_ORR-6 Schedule C_RSS.xlsx Form and Instruction
ORR-6 Schedule D PRA_ORR-6 Schedule D_SOR_RSIG.xlsx Form
ORR-6 Schedule E PRA_ORR-6 Schedule E_URM Data.xlsx Form and Instruction
ORR-6 Schedule F PRA_ORR-6 Schedule F_RMA and Medical Screening Exp 02.28.2022 Final - May 2019 update.xlsx Form and Instruction
ORR-6 Annual Service Plan PRA_ORR-6_Annual Service Plan.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ORR-6	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORR-6	ORR-6 Schedule B	PRA_ORR-6 Schedule B Exp 02.28.2022_WF NonSub Change_clean.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule C	PRA_ORR-6 Schedule C_RSS.xlsx	Yes	Yes	Fillable Printable
Form	ORR-6	Schedule D	PRA_ORR-6 Schedule D_SOR_RSIG.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule E	PRA_ORR-6 Schedule E_URM Data.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6 Schedule E_URM Narrative.docx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule F	PRA_ORR-6 Schedule F_RMA and Medical Screening Exp 02.28.2022 Final - May 2019 update.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6_Annual Service Plan Instructions_WF NonSub Change_clean.doc	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Annual Service Plan	PRA_ORR-6_Annual Service Plan.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6_Instructions Exp 02.28.2022 Final - May 2019 update.docx	Yes	Yes	Fillable Fileable
Instruction			PRA_ORR-6 Schedule A_Narrative.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	1,770	1,770
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.