Records Retention and Access Requirement (for Eligible Tribal Governments)

Local Assistance and Tribal Consistency Fund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0276 can be found here:

Documents and Forms

Document Name Document Type
Records Retention and Access Requirement (for Eligible Tribal Governments) Form and Instruction
Local Assistance and Tribal Consistency Fund Recipient P ARP LATCF Recipient Payment Information Form v3.docx Form and Instruction
Certifications and Assurances for Eligible Tribal Govern ARP LATCF Certification for Tribal Governments.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Records Retention and Access Requirement (for Eligible Tribal Governments)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Certifications and Assurances for Eligible Tribal Governments - Local Assistance and Tribal Consistency Fund	ARP LATCF Certification for Tribal Governments.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 581	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 New Statute
Annual Number of Responses for this IC	581	581
Annual IC Time Burden (Hours)	145	145
Annual IC Cost Burden (Dollars)	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.