Information Collection

Provider Capacity Building Indicators

IC 259183 under ICR 202303-0970-006 · OMB 0970-0609.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0609 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Example SOAR Demonstration Grant Program Reporting Workbook 3.15.23.xlsx	Other-Workbook
Example SOAR Demonstration Grant Program Reporting Workbook 3.15.23.xlsx	Other-Workbook
SOAR Demonstration Grant Program Data Indicators Clean 3.15.23.docx SOAR Demonstration Grant Program Data Indicators	IC Document
SOAR Demonstration Grant Program Data Indicators Clean 3.15.23.docx SOAR Demonstration Grant Program Data Indicators	IC Document
SOAR Demonstration Grant Program Data Reporting Reference Guide_Clean 3.15.23.docx SOAR Demonstration Grant Program Data Reporting Reference Guide	IC Document
SOAR Demonstration Grant Program Data Reporting Reference Guide_Clean 3.15.23.docx SOAR Demonstration Grant Program Data Reporting Reference Guide	IC Document

IC Title:

Provider Capacity Building Indicators

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Workbook			Example SOAR Demonstration Grant Program Reporting Workbook 3.15.23.xlsx		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: 75

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SOAR Demonstration Grant Program Data Indicators	SOAR Demonstration Grant Program Data Indicators Clean 3.15.23.docx	03/15/2023
SOAR Demonstration Grant Program Data Reporting Reference Guide	SOAR Demonstration Grant Program Data Reporting Reference Guide_Clean 3.15.23.docx	03/15/2023

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