Information Collection Request

Community Navigators Pilot Program

ICR 202112-3245-003 · OMB 3245-0423 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3245-0423 Community Navigator Pilot Program_Regular_Supporting_Statement 12-27-2021.docx Supporting Statement A Uploaded 2021-12-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247332 Community Navigators Pilot Program Other-Reporting Requirements Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 12/31/2021
500,000 450,000
99,999 150,000
2,766,500 4,095,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Community Navigators Pilot Program SBA Form 3516 Community Navigators Pilot Program Client and Program Information Form

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500,000 450,000 0 50,000 0 0
Annual Time Burden (Hours) 99,999 150,000 0 -50,001 0 0
Annual Cost Burden (Dollars) 2,766,500 4,095,000 0 -1,328,500 0 0


Reginfo record details
  No