Information Collection

Supplemental Form-Financial Status for ACL Title III Grants

IC 10243 under ICR 202010-0985-001 · OMB 0985-0004.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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			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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	112	112
Annual IC Time Burden (Hours)	224	224
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.