G2S SPR-Site Visit Checklist

Grants to States Program “State Reporting System

Documents and Forms

Document Name Document Type
04 Site Visit Checklist_Appendix6 20220804.docx Other-Data Collection Form
04 Site Visit Checklist_Appendix6 20220804.docx Other-Data Collection Form
01 G2S SPR-Site Visit Checklist Burden Estimate 20220804.xlsx FY22 Burden Estimate IC Document
01 G2S SPR-Site Visit Checklist Burden Estimate 20220804.xlsx FY22 Burden Estimate IC Document

Information Collection (IC) Details

IC Title:	G2S SPR-Site Visit Checklist	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Collection Form			04 Site Visit Checklist_Appendix6 20220804.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 12

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	2,822	2,822
Annual IC Cost Burden (Dollars)	87,086	87,086

Documents for IC

Title	Document	Date Uploaded
FY22 Burden Estimate	01 G2S SPR-Site Visit Checklist Burden Estimate 20220804.xlsx	08/05/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.