Information Collection Request

Coronavirus State and Local Fiscal Recovery Funds Program

ICR 202106-1505-002 · OMB 1505-0271 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Request for Extension Form Form New Repair queued
Tribal Employment Information Form Form and Instruction Unchanged Repair queued
Title VI Assurances Form and Instruction Unchanged Repair queued
Acceptance of Award Terms Form and Instruction Unchanged Repair queued
Recipient Payment Form Form and Instruction Unchanged Repair queued
1505-0271 Non-substantive Change Justification - Extension Form 2021-06-11.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-06-11 Repair queued
Emergency Justification Memo_SLT Form_FINAL_signed.pdf Supplementary Document Uploaded 2021-05-27 Repair queued
1505-0271_ARP SLFRP Supporting Statement_FINAL.docx Supporting Statement A Uploaded 2021-05-27 Repair queued
SLFRP _Emergency Justification Memo FINAL_signed.pdf Supplementary Document Uploaded 2021-05-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247871 Request for Extension Form Form New
247652 Tribal Employment Information Form Form and Instruction Unchanged
247260 Title VI Assurances Form and Instruction Unchanged
247045 Acceptance of Award Terms Form and Instruction Unchanged
247044 Recipient Payment Form Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
11/30/2021 11/30/2021
15,789 15,734
5,544 5,489
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15,789 15,734 0 55 0 0
Annual Time Burden (Hours) 5,544 5,489 0 55 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No