Information Collection

OCSE-75 for FY 2022

IC 178847 under ICR 202202-0970-015 · OMB 0970-0320.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0320 can be found here:

Documents and Forms

Document Name Document Type
Form OCSE-75 OCSE-75 for FY 2022 Form and Instruction
OCSE-75 Annual Report OCSE-75 Form and Instructions_08.15.19.pdf Form and Instruction
OCSE-75 Annual Report OCSE-75 Form and Instructions_08.15.19.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OCSE-75 for FY 2022	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	OCSE-75	Annual Report	OCSE-75 Form and Instructions_08.15.19.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	0	60
Annual IC Time Burden (Hours)	2,400	-1,200	3,600
Annual IC Cost Burden (Dollars)	0	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.