Information Collection

6: Quarterly Performance Report (QPR)

IC 246011 under ICR 202102-0970-014 · OMB 0970-0566.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0566 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HM 6: Quarterly Performance Report (QPR)	Form and Instruction
HM HM QPR Attachment J_Instrument 6HM_QPR.docx	Form and Instruction
HM HM QPR Attachment J_Instrument 6HM_QPR_030321.docx	Form and Instruction
RF RF QPR Attachment J_Instrument 6RF_QPR.docx	Form and Instruction
RF RF QPR Attachment J_Instrument 6RF_QPR_updated 030321.docx	Form and Instruction

IC Title:

6: Quarterly Performance Report (QPR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	HM	HM QPR	Attachment J_Instrument 6HM_QPR_030321.docx		Yes	Yes	Fillable Fileable
Form and Instruction	RF	RF QPR	Attachment J_Instrument 6RF_QPR_updated 030321.docx		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: 136

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	272	272
Annual IC Time Burden (Hours)	272	272
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.