Information Collection

CMC Annual Progress Report Form

IC 254114 under ICR 202206-0660-003 · OMB 0660-0048.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TAB D CMC Annual Progress Report Form	Form and Instruction
TAB D TAB D - CMC Annual Progress Report Connecting Minority Communities Pilot Program Report Forms (FINAL).xlsx	Form and Instruction
TAB D TAB D - CMC Annual Progress Report FINAL Connecting Minority Communities Pilot Program Report Forms v2.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	TAB D	TAB D - CMC Annual Progress Report	FINAL Connecting Minority Communities Pilot Program Report Forms v2.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3,322	3,322
Annual IC Cost Burden (Dollars)	157,928	157,928

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.