Information Collection

Microenterprise Development Program Indicators

IC 238828 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⚠️ Notice: This information collection may be referencing outdated material.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 Microenterprise Development Program Indicators	Form
MED Semi-Annual Report Instructions Clean.docx	Instruction
MED Semi-Annual Report Instructions Clean.docx	Instruction
1 MED Semi-Annual Report Submission Form MED Semi-Annual Report Form Clean.xlsx	Form
1 MED Semi-Annual Report Submission Form MED Semi-Annual Report Form Clean.xlsx	Form
Justification template for PPR Gen IC.doc Generic PPR Submission Form - MED Semi-Annual Report	IC Document
Justification template for PPR Gen IC.doc Generic PPR Submission Form - MED Semi-Annual Report	IC Document
NOA - MED Semi-Annual Report_Generic PPR 0970-0490_11.7.19.pdf NOA - MED Semi-Annual Report	IC Document
NOA - MED Semi-Annual Report_Generic PPR 0970-0490_11.7.19.pdf NOA - MED Semi-Annual Report	IC Document
MED NonSub Change Request.docx NonSub Change Memo - MED Indicators February 2020	IC Document
MED NonSub Change Request.docx NonSub Change Memo - MED Indicators February 2020	IC Document

IC Title:

Microenterprise Development Program 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	MED Semi-Annual Report Submission Form	MED Semi-Annual Report Form Clean.xlsx		Yes	Yes	Fillable Fileable
Instruction			MED Semi-Annual Report Instructions 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: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	84	84
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - MED Semi-Annual Report	Justification template for PPR Gen IC.doc	12/09/2019
NOA - MED Semi-Annual Report	NOA - MED Semi-Annual Report_Generic PPR 0970-0490_11.7.19.pdf	12/09/2019
NonSub Change Memo - MED Indicators February 2020	MED NonSub Change Request.docx	02/04/2020

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