Information Collection

Program Level Event (Form A-10D)

IC 241077 under ICR 202109-0970-014 · OMB 0970-0547.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0547 can be found here:

Documents and Forms

Document Name Document Type
Form A-10D Program Level Event (Form A-10D) Form
A-10D Program-Level Event Report - UC Portal Version Program-Level Event Report (Forms A-10D) - UC Portal.pdf Form
A-10D Program-Level Event Report - UC Portal Version Program-Level Event Report (Forms A-10D) - UC Portal.pdf Form
A-10D Program-Level Event Report and Addendum - UC Path Versio Program-Level Event Report and Addendum (Form A-10D) - UC Path.pdf Form
A-10D Program-Level Event Report and Addendum - UC Path Versio Program-Level Event Report and Addendum (Form A-10D) - UC Path.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Program Level Event (Form A-10D)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	A-10D	Program-Level Event Report - UC Portal Version	Program-Level Event Report (Forms A-10D) - UC Portal.pdf		Yes	Yes	Fillable Fileable
Form	A-10D	Program-Level Event Report and Addendum - UC Path Version	Program-Level Event Report and Addendum (Form A-10D) - UC Path.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: 216	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,512	-24,118	25,630
Annual IC Time Burden (Hours)	1,512	-4,896	6,408
Annual IC Cost Burden (Dollars)	0	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.