Information Collection

Output and Outcome Metrics for Financial Assistance and Rebates

IC 257664 under ICR 202212-1910-001 · OMB 1910-5198.

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Information Collection (IC) Details

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IC Title:	Output and Outcome Metrics for Financial Assistance and Rebates	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 910

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59,625	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	88,125	88,125
Annual IC Time Burden (Hours)	98,250	98,250
Annual IC Cost Burden (Dollars)	6,286,035	6,286,035

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