Information Collection

Soma

IC 261018 under ICR 202304-2528-001 · OMB 2528-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SOMA Items Booklet (2023).pdf	Other-SOMA Items Booklet
SOMA Items Booklet (2023).pdf	Other-SOMA Items Booklet
SOMA Instrument Screenshots v4 (2023).pdf SOMA Instruments Screenshots	IC Document
SOMA Instrument Screenshots v4 (2023).pdf SOMA Instruments Screenshots	IC Document

IC Title:

SOMA

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-SOMA Items Booklet			SOMA Items Booklet (2023).pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	48,000	48,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SOMA Instruments Screenshots	SOMA Instrument Screenshots v4 (2023).pdf	07/07/2023

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