Information Collection

Pre Regional Evaluation form

IC 249392 under ICR 202108-1121-007 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pre Regional Evaluation form	Form and Instruction
Pre Regional Evaluation form Regional T-TA Pre T-TA Evaluation.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

OVC

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	n/a	Pre Regional Evaluation form	Regional T-TA Pre T-TA Evaluation.pdf	n/a	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 495

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	495	495
Annual IC Time Burden (Hours)	8	8
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.