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Supplemental Form-Financial Status for ACL Title III Grants
Supplemental Form to the Financial Status Report for all AoA Title III Grantees
OMB: 0985-0004
IC ID: 10243
OMB.report
HHS/ACL
OMB 0985-0004
ICR 202010-0985-001
IC 10243
( )
Documents and Forms
Document Name
Document Type
0004 T-3 Supplemental Instructions - FINAL.pdf
Instruction
ACL SF-425 T-3 Supplemental Form-Financial Status for ACL Title III Gra
0004 T-3 Supplemental Form FINAL.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Form-Financial Status for ACL Title III Grants
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
0004 T-3 Supplemental Instructions - FINAL.pdf
Yes
Yes
Fillable Fileable
Form
ACL SF-425 T-3
Supplemental Form-Financial Status for ACL Title III Grants
0004 T-3 Supplemental Form FINAL.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
112
0
0
0
0
112
Annual IC Time Burden (Hours)
224
0
0
0
0
224
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.