Information Collection

Orr-6

IC 232479 under ICR 202005-0970-012 · OMB 0970-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ORR-6 ORR-6	Form and Instruction
PRA_ORR-6 Schedule A_Narrative.docx	Instruction
PRA_ORR-6 Schedule E_URM Narrative.docx	Instruction
PRA_ORR-6_Annual Service Plan Instructions_WF NonSub Change_clean.doc	Instruction
PRA_ORR-6_Instructions Exp 02.28.2022 CLEAN.docx	Instruction
ORR-6 ORR-6 Schedule B PRA_ORR-6 Schedule B Exp 02.28.2022_WF NonSub Change_clean.xlsx	Form
ORR-6 Schedule C PRA_ORR-6 Schedule C_RSS.xlsx	Form and Instruction
ORR-6 Schedule D pra_orr_6_schedule_d_sor_rsig_exp_02282022 CLEAN.xlsx	Form
ORR-6 Schedule E PRA_ORR-6 Schedule E_URM Data.xlsx	Form and Instruction
ORR-6 Schedule F PRA_ORR-6 Schedule F_RMA and Medical Screening Exp 02.28.2022 Final - May 2019 update.xlsx	Form and Instruction
ORR-6 Annual Service Plan PRA_ORR-6_Annual Service Plan.xlsx	Form and Instruction

IC Title:

ORR-6

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ORR-6	Schedule F	PRA_ORR-6 Schedule F_RMA and Medical Screening Exp 02.28.2022 Final - May 2019 update.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6_Annual Service Plan Instructions_WF NonSub Change_clean.doc	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Annual Service Plan	PRA_ORR-6_Annual Service Plan.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6_Instructions Exp 02.28.2022 CLEAN.docx	Yes	Yes	Fillable Fileable
Form	ORR-6	Schedule D	pra_orr_6_schedule_d_sor_rsig_exp_02282022 CLEAN.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6 Schedule A_Narrative.docx	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Schedule B	PRA_ORR-6 Schedule B Exp 02.28.2022_WF NonSub Change_clean.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule C	PRA_ORR-6 Schedule C_RSS.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule E	PRA_ORR-6 Schedule E_URM Data.xlsx	Yes	Yes	Fillable Printable
Instruction			PRA_ORR-6 Schedule E_URM Narrative.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

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	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	1,770	1,770
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.