Information Collection

CARES Act Funding Survey

IC 247680 under ICR 202207-3135-002 · OMB 3135-0144.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CARES Act Funding Survey	Form and Instruction
1 CARES Act Funding Survey Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.pdf	Form and Instruction
1 CARES Act Funding Survey Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

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	1	CARES Act Funding Survey	Attachment B_CARES_Act_Funding_Survey-6.9.21-clean.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: 62

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-62	62
Annual IC Time Burden (Hours)	-279	279
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.