Information Collection

Title VI Parts A/B and C Grant Application

IC 237031 under ICR 202206-0985-001 · OMB 0985-0064.

Documents and Forms

Document Name Document Type
Title VI Parts A/B and C Grant Application Form and Instruction
Application for OAA Title VI Parts A/B and C 0064f FY2023 Application JA20220829-508.pdf Form and Instruction
Application for OAA Title VI Parts A/B and C 0064f FY2023 Application JA20220829-508.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Title VI Parts A/B and C Grant Application	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 1326.19

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Application for OAA Title VI Parts A/B and C	0064f FY2023 Application JA20220829-508.pdf		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: 545	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	545	250	295
Annual IC Time Burden (Hours)	395	125	270
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.