Information Collection

Microenterprise Development (MED) Program Indicators

IC 238828 under ICR 202301-0970-009 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Microenterprise Development (MED) Program Indicators	Form
Form 1 Microenterprise Development (MED) Program Indicators	Form
CLEAN MED PI Instructions.docx	Instruction
CLEAN MED PI Instructions.docx	Instruction
1 MED Program Indicators CLEAN MED PI Form.xlsx	Form
1 MED Program Indicators CLEAN MED PI Form.xlsx	Form
ORR MED PPR Update 2022.docx Generic PPR Submission Form - MED Program Indicators	IC Document
ORR MED PPR Update 2022.docx Generic PPR Submission Form - MED Program Indicators	IC Document
MED Change Request (GenICs).docx NonSub Change Memo - MED Indicators January 2023	IC Document
MED Change Request (GenICs).docx NonSub Change Memo - MED Indicators January 2023	IC Document

IC Title:

Microenterprise Development (MED) Program Indicators

Agency IC Tracking Number:

ORR

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form	1	MED Program Indicators	CLEAN MED PI Form.xlsx		Yes	Yes	Fillable Fileable
Instruction			CLEAN MED PI Instructions.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: 29

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: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58	16	42
Annual IC Time Burden (Hours)	116	32	84
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - MED Program Indicators	ORR MED PPR Update 2022.docx	01/24/2023
NonSub Change Memo - MED Indicators January 2023	MED Change Request (GenICs).docx	01/24/2023

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