Performance Report for State Independent Living Program

Independent Living Services (ILS) Program Performance Report (PPR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0043 can be found here:

Documents and Forms

Document Name Document Type
0043 ILS PPR Instructions.docx Instruction
0043 ILS PPR Instructions.docx Instruction
ILS PPR 0043 ILS PPR Instrument.pdf Form
ILS PPR 0043 ILS PPR Instrument.pdf Form

Information Collection (IC) Details

IC Title:	Performance Report for State Independent Living Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 365 34 CFR 366 34 CFR 364

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			0043 ILS PPR Instructions.docx		Yes	Yes	Fillable Fileable
Form	NA	ILS PPR	0043 ILS PPR Instrument.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: 99 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	1,960	1,960
Annual IC Cost Burden (Dollars)	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.