Information Collection

Technical Assistance Form

IC 237968 under ICR 202210-0970-005 · OMB 0970-0467.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0467 can be found here:

Documents and Forms

Document Name Document Type
Form 9 Technical Assistance Form Form
9 Technical Assistance Form Attachment K - OTIP-0499 - TVAP Revision - Technical Assistance Form_10.01.19.pdf Form
9 Technical Assistance Form Attachment K - OTIP-0499 - TVAP Revision - Technical Assistance Form_10.01.19.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Technical Assistance Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	9	Technical Assistance Form	Attachment K - OTIP-0499 - TVAP Revision - Technical Assistance Form_10.01.19.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: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-4	4
Annual IC Time Burden (Hours)	-2	2
Annual IC Cost Burden (Dollars)	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.