Information Collection

Refugee Support Services (RSS) Set-Aside Sub-Grantees

IC 239734 under ICR 201906-0970-001 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Refugee Support Services (RSS) Set-Aside Sub-Grantees	Form
RSS Form Instructions 1.30.2020.docx	Instruction
1 RSS Form RSS Form 1.30.2020.xlsx	Form
SSA Template for Formative or Pretesting Generics- 2.3.2020.docx Supporting Statement A - RSS Form and Instructions	IC Document

IC Title:

Refugee Support Services (RSS) Set-Aside Sub-Grantees

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

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
Form	1	RSS Form	RSS Form 1.30.2020.xlsx		Yes	Yes	Fillable Fileable
Instruction			RSS Form Instructions 1.30.2020.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: 56

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - RSS Form and Instructions	SSA Template for Formative or Pretesting Generics- 2.3.2020.docx	02/03/2020

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