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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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:

table that charts list of 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 %

table that charts list of burden
	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

Documents for IC

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