Information Collection

CPF Grant Application - States, Territories, and Freely Associated States

IC 249323 under ICR 202111-1505-005 · OMB 1505-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0274 can be found here:

Documents and Forms

Document Name Document Type
CPF State_Territory Application v3.pptx Other-screenshots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CPF Grant Application - States, Territories, and Freely Associated States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshots			CPF State_Territory Application v3.pptx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	59	59
Annual IC Cost Burden (Dollars)	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.