Mandatory Grant Submission Template 2021_5.20.21_final

Request for Approval under the “Generic Clearance for the Collection of Mandatory Grant Financial Reports” (OMB Control Number: 0970-0510) Expiration date 5/31/2024

TITLE OF INFORMATION COLLECTION:

PURPOSE:

DESCRIPTION OF RESPONDENTS:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [ ] No

2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No

BURDEN HOURS

Title of Information Collection	No. of Respondents	Annual Frequency of Responses	Hourly Burden per Response	Annual Hourly Burden
Totals

FEDERAL COST: The estimated annual cost to the Federal government is ____________

PUBLIC COMMENT: ACF published a notice in the Federal Register announcing the agency’s intention to request an OMB review of this generic information collection activity.

_____ FR ___________ Date: ____________

This notice provided a 14-day period for public comment. [We did not receive comments on the proposed collection of information.]/[We received XX comments on the proposed collection of information. Comments are included as Attachment(s) X-XX. An overview of the comment(s) and ACF’s response(s) follow.]

Please make sure that all instruments, instructions, and scripts are submitted with the request.

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