Information Collection

State, Local and Tribal Governments Applicants

IC 197294 under ICR 202110-0596-003 · OMB 0596-0227.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0227 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
No forms Place Holder.doc	Other-No Forms Statement
No forms Place Holder.doc	Other-No Forms Statement

IC Title:

State, Local and Tribal Governments Applicants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-No Forms Statement					No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	25	0	25
Annual IC Time Burden (Hours)	600	-1,305	1,905
Annual IC Cost Burden (Dollars)	0	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.

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