Information Collection

Emergency Solutions Grant Data Collection Fr 2562

IC 145136 under ICR 202207-2506-004 · OMB 2506-0089.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
41502c5HSGH.doc	Instruction

IC Title:

EMERGENCY SOLUTIONS GRANT DATA COLLECTION FR 2562

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 576

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			41502c5HSGH.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 78,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	546,116	546,116
Annual IC Time Burden (Hours)	387,522	387,522
Annual IC Cost Burden (Dollars)	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.