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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.