Information Collection

One Protection and Advocacy Annual Program Performance Report

IC 234853 under ICR 202201-0985-001 · OMB 0985-0063.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
One PPR Template One Protection and Advocacy Annual Program Performance Report	Form
0063 One PPR Guidance_2022.V3.pdf	Instruction
0063 One PPR Guidance_2022.V3.pdf	Instruction
One PPR Template 0063 One PPR Template 2022.pdf	Form
One PPR Template 0063 One PPR Template 2022.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1386.22

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
Instruction					Yes	Yes	Fillable Fileable
Form	NA				Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

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	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	57	0	57
Annual IC Time Burden (Hours)	8,208	912	7,296
Annual IC Cost Burden (Dollars)	0	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.

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