Information Collection

Orr-2

IC 201750 under ICR 202208-0970-001 · OMB 0970-0407.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0407 can be found here:

Documents and Forms

IC Title:

ORR-2

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 400.211

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			Instructions_CMA ORR-2.docx		Yes	Yes	Fillable Printable
Form	ORR-2	ORR-2	CMA ORR-2.xlsx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 63

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
	Approved	Previously Approved
Annual Number of Responses for this IC	252	252
Annual IC Time Burden (Hours)	378	378
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.