Information Collection

Complete Application

IC 221995 under ICR 201909-0970-007 · OMB 0970-0307.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0307 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1- CIP Program Instruction_11.22.19.docx	Instruction
1 CIP Strategic Plan Template 1- CIP Strategic Plan Template_11.22.19.docx	Form

IC Title:

Complete Application

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1- CIP Program Instruction_11.22.19.docx		Yes	Yes	Fillable Fileable
Form	1	CIP Strategic Plan Template	1- CIP Strategic Plan Template_11.22.19.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: 52

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	Previously Approved
Annual Number of Responses for this IC	52	0	52
Annual IC Time Burden (Hours)	2,704	624	2,080
Annual IC Cost Burden (Dollars)	0	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.