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

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.