Information Collection

Performance Progress Report

IC 193975 under ICR 202011-0970-007 · OMB 0970-0380.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0380 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PPR Performance Progress Report	Form
State PREP PPR Instructions 11-17-2020.docx	Instruction
1 PPR State PREP PPR 11-17-2020.docx	Form

IC Title:

Performance Progress Report

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
Form	1				Yes	Yes	Fillable Printable
Instruction					Yes	Yes	Printable Only

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	118	-54	172
Annual IC Time Burden (Hours)	1,888	-864	2,752
Annual IC Cost Burden (Dollars)	0	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.

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