Information Collection

Capacity Building Collaborative, Center for States Peer Group Membership Request Form

IC 258233 under ICR 202305-0970-012 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Peer Group Membership Request Form, 01.23.23.docx	Other-Request Form
Peer Group Membership Request Form, 01.23.23.docx	Other-Request Form
Peer Group Membership Request Form OMB Application, 01.31.23.docx Peer Group Membership Request Form OMB Application	IC Document
Peer Group Membership Request Form OMB Application, 01.31.23.docx Peer Group Membership Request Form OMB Application	IC Document

IC Title:

Capacity Building Collaborative, Center for States Peer Group Membership Request Form

Agency IC Tracking Number:

IC Status: Unchanged

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-Request Form			Peer Group Membership Request Form, 01.23.23.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: 250

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	250	250
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Peer Group Membership Request Form OMB Application	Peer Group Membership Request Form OMB Application, 01.31.23.docx	02/02/2023

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