Annual Self-Assessment

State Court Improvement Program

Documents and Forms

Document Name Document Type
Form 1 Annual Self-Assessment Form and Instruction
1 State Court Improvement Program 2023 Annual Self-Assessm PI-22-03 Self Assessment - clean.docx Form and Instruction
1 State Court Improvement Program 2023 Annual Self-Assessm PI-22-03 Self Assessment - clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Annual Self-Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	1	State Court Improvement Program 2023 Annual Self-Assessment Report	PI-22-03 Self Assessment - clean.docx		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: 53	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	53	1	52
Annual IC Time Burden (Hours)	2,120	-584	2,704
Annual IC Cost Burden (Dollars)	0	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.