Information Collection

ACF-901 – American Rescue Plan (ARP) Stabilization Grants Provider-Level Data

IC 249912 under ICR 202110-0970-015 · OMB 0970-0584.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACF-901 ACF-901 – American Rescue Plan (ARP) Stabilization Grants Provider-Level Data	Form and Instruction
ACF-901 ARP Stabilization Grants Provider-Level Data Draft ACF-901 Stabilization Grants Provider-Leval Data _25Oct2021_CLEAN.docx	Form and Instruction
ACF-901 ARP Stabilization Grants Provider-Level Data Draft ACF-901 Stabilization Grants Provider-Leval Data _25Oct2021_CLEAN.docx	Form and Instruction

IC Title:

ACF-901 â American Rescue Plan (ARP) Stabilization Grants Provider-Level Data

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	ACF-901	ARP Stabilization Grants Provider-Level Data	Draft ACF-901 Stabilization Grants Provider-Leval Data _25Oct2021_CLEAN.docx		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: 56

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	4,480	4,480
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.