Information Collection

Continuum of Care Homeless Assistance Grant Application-Continuum of Care Registration

IC 187970 under ICR 202012-2506-003 · OMB 2506-0182.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
M20CoCRegistration2012v1 - 11 7 12.docx	Instruction
GIW Blank.xlsx	Other-
FY2012_CoC_Merging_Financial_Worksheet.xlsx.xlsx	Other-
Draft Data Elements.pdf Data Elements	IC Document

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: 24 CFR 583.300(g)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	M20CoCRegistration2012v1 - 11 7 12.docx	Yes	Yes	Fillable Fileable
Other-	GIW Blank.xlsx	Yes	Yes	Fillable Printable
Other-	FY2012_CoC_Merging_Financial_Worksheet.xlsx.xlsx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 405

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	405	-5	410
Annual IC Time Burden (Hours)	3,995	2,750	1,245
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Elements	Draft Data Elements.pdf	02/26/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.