Information Collection

Microenterprise Development (MED) Program Indicators

IC 258070 under ICR 202305-0970-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Generic PPR NOA_MED PI_0970-0490_1.25.23.pdf NOA - MED Program Indicators	IC Document
Generic PPR NOA_MED PI_0970-0490_1.25.23.pdf NOA - MED Program Indicators	IC Document

IC Title:

Microenterprise Development (MED) Program Indicators

Agency IC Tracking Number:

ORR - Refugee

IC Status: Unchanged

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	Printable Only

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	Previously Approved
Annual Number of Responses for this IC	58	58
Annual IC Time Burden (Hours)	116	116
Annual IC Cost Burden (Dollars)	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	01/25/2023
NOA - MED Program Indicators	Generic PPR NOA_MED PI_0970-0490_1.25.23.pdf	01/25/2023

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