Information Collection

Orr-6

IC 232479 under ICR 202305-0970-007 · OMB 0970-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
pra_orr_6_schedule_a_narrative Clean.docx	Instruction
pra_orr_6_schedule_a_narrative Clean.docx	Instruction
pra_orr_6_schedule_e_urm_narrative Clean.docx	Instruction
pra_orr_6_schedule_e_urm_narrative Clean.docx	Instruction
pra_orr_6_annual_service_plan_instructions_Clean.docx	Instruction
pra_orr_6_annual_service_plan_instructions_Clean.docx	Instruction
pra_orr_6_instructions_Clean.docx	Instruction
pra_orr_6_instructions_Clean.docx	Instruction
ORR-6 ORR-6 Schedule B pra_orr_6_schedule_b Clean.xlsx	Form
ORR-6 ORR-6 Schedule B pra_orr_6_schedule_b Clean.xlsx	Form
ORR-6 Schedule C pra_orr_6_schedule_c_rss Clean.xlsx	Form and Instruction
ORR-6 Schedule C pra_orr_6_schedule_c_rss Clean.xlsx	Form and Instruction
ORR-6 Schedule D pra_orr_6_schedule_d Clean.xlsx	Form
ORR-6 Schedule D pra_orr_6_schedule_d Clean.xlsx	Form
ORR-6 Schedule E pra_orr_6_schedule_e_urm_data_2023 Clean.xlsx	Form and Instruction
ORR-6 Schedule E pra_orr_6_schedule_e_urm_data_2023 Clean.xlsx	Form and Instruction
ORR-6 Schedule F pra_orr_6_schedule_f_rma_and_medical_screening_Clean.xlsx	Form and Instruction
ORR-6 Schedule F pra_orr_6_schedule_f_rma_and_medical_screening_Clean.xlsx	Form and Instruction
ORR-6 Annual Service Plan pra_orr_6_annual_service_plan Clean.xlsx	Form and Instruction
ORR-6 Annual Service Plan pra_orr_6_annual_service_plan Clean.xlsx	Form and Instruction

IC Title:

ORR-6

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 400.28(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			pra_orr_6_schedule_a_narrative Clean.docx	Yes	Yes	Fillable Printable
Form	ORR-6	ORR-6 Schedule B	pra_orr_6_schedule_b Clean.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule C	pra_orr_6_schedule_c_rss Clean.xlsx	Yes	Yes	Fillable Printable
Form	ORR-6	Schedule D	pra_orr_6_schedule_d Clean.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule E	pra_orr_6_schedule_e_urm_data_2023 Clean.xlsx	Yes	Yes	Fillable Printable
Instruction			pra_orr_6_schedule_e_urm_narrative Clean.docx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Schedule F	pra_orr_6_schedule_f_rma_and_medical_screening_Clean.xlsx	Yes	Yes	Fillable Printable
Instruction			pra_orr_6_annual_service_plan_instructions_Clean.docx	Yes	Yes	Fillable Printable
Form and Instruction	ORR-6	Annual Service Plan	pra_orr_6_annual_service_plan Clean.xlsx	Yes	Yes	Fillable Printable
Instruction			pra_orr_6_instructions_Clean.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: 64

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	128	128
Annual IC Time Burden (Hours)	1,920	1,920
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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