Information Collection

Intergovernmental Reference Guide: State Profile Guidance

IC 187582 under ICR 202111-0970-001 · OMB 0970-0209.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0209 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Intergovernmental Reference Guide: State Profile Guidance	Form and Instruction
1 IRG State Profile Questions IRG_0970-0209_State Profile Questions_FINAL.docx	Form and Instruction
1 IRG State Profile Questions IRG_0970-0209_State Profile Questions_FINAL.docx	Form and Instruction

IC Title:

Intergovernmental Reference Guide: State Profile Guidance

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
Form and Instruction	1	IRG State Profile Questions	IRG_0970-0209_State Profile Questions_FINAL.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	972	972
Annual IC Time Burden (Hours)	292	292
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.