Information Collection

CARES Act Funding Survey

IC 247680 under ICR 202105-3135-001 · OMB 3135-0144.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0144 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CARES Act Funding Survey	Form and Instruction
1 CARES Act Funding Survey Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.pdf	Form and Instruction
1 CARES Act Funding Survey Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.pdf	Form and Instruction

IC Title:

CARES Act Funding Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	1	CARES Act Funding Survey	Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.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: 62

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	279	279
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.