Information Collection

Narrative Response to Rating Factors

IC 239198 under ICR 201910-2528-001 · OMB 2528-0326.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0326 can be found here:

Documents and Forms

Document Name Document Type
Narrative Response to Rating Factors.docx Other-Narrative Response to Rating F
SF424_2_1-V2.1.pdf SF-424 IC Document
SL-LLL.pdf SF-LLL IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Narrative Response to Rating Factors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Narrative Response to Rating Factors			Narrative Response to Rating Factors.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SF-424	SF424_2_1-V2.1.pdf	01/14/2020
SF-LLL	SL-LLL.pdf	01/14/2020

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