Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 238827 under ICR 202112-0970-004 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Ethnic Community Self-Help (ECSH) Program Data Indicators	Form
Final Instructions for ECSH Data Indicators.docx	Instruction
Final Instructions for ECSH Data Indicators.docx	Instruction
1 ECSH Program Data Indicators Final ECSH Data Indicators.xlsx	Form
1 ECSH Program Data Indicators Final ECSH Data Indicators.xlsx	Form
Final Justification template for PPR Gen IC_zc2.docx Generic PPR Submission Form - ECSH Program Data Indicators	IC Document
Final Justification template for PPR Gen IC_zc2.docx Generic PPR Submission Form - ECSH Program Data Indicators	IC Document
NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf NOA - ECSH Program Data Indicators	IC Document
NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf NOA - ECSH Program Data Indicators	IC Document
NonSub Change Request _ORR_Generic PPRs - PC_ECSH_SOT_0970-0490_10.20.21.docx NonSub Change - Add AHP to ECSH PPR Materials	IC Document
NonSub Change Request _ORR_Generic PPRs - PC_ECSH_SOT_0970-0490_10.20.21.docx NonSub Change - Add AHP to ECSH PPR Materials	IC Document

IC Title:

Ethnic Community Self-Help (ECSH) Program Data Indicators

Agency IC Tracking Number:

ORR

IC Status: Unchanged

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	1	ECSH Program Data Indicators	Final ECSH Data Indicators.xlsx		Yes	Yes	Fillable Fileable
Instruction			Final Instructions for ECSH Data Indicators.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: 20

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
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - ECSH Program Data Indicators	Final Justification template for PPR Gen IC_zc2.docx	12/09/2019
NOA - ECSH Program Data Indicators	NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf	12/09/2019
NonSub Change - Add AHP to ECSH PPR Materials	NonSub Change Request _ORR_Generic PPRs - PC_ECSH_SOT_0970-0490_10.20.21.docx	10/20/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.