Information Collection

2017 SPPA Pilot Instrument

IC 220634 under ICR 202108-3135-001 · OMB 3135-0136.

Documents and Forms

Document Name Document Type
Form 2 2017 SPPA Pilot Instrument Form and Instruction
2 SPPA Pilot Instrument SPPA2017 Pilot_4 12 16-FINAL.docx Form and Instruction
2 SPPA Pilot Instrument SPPA2017 Pilot_4 12 16-FINAL.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2017 SPPA Pilot Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	SPPA Pilot Instrument	SPPA2017 Pilot_4 12 16-FINAL.docx		No		Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-200	200
Annual IC Time Burden (Hours)	-33	33
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.