Information Collection

Title VI Part C Grant Application

IC 237032 under ICR 201907-0985-001 · OMB 0985-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0064 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Title VI Part C Grant Application	Form and Instruction
Title VI Part C Grant Application 0985-New Title VI 2020-2023 App MS.pdf	Form and Instruction

IC Title:

Title VI Part C Grant Application

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 1326.19

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 and Instruction	NA	Title VI Part C Grant Application	0985-New Title VI 2020-2023 App MS.pdf		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: 250

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	125	125
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.