Information Collection

Application - Quarterly Performance Report

IC 261864 under ICR 202308-1505-001 · OMB 1505-0260.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0260 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1505-0260 SIPPRA Supporting Statement NOFA#2 - 8.25.23.docx www.grants.gov	Other-Notice Of Funding Availability
1505-0260 SIPPRA NOFA 2_2023.10.27.docx www.grants.gov	Other-Notice Of Funding Availability

IC Title:

Application - Quarterly Performance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Notice Of Funding Availability			1505-0260 SIPPRA NOFA 2_2023.10.27.docx	www.grants.gov	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: 5

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	6,100,000	6,100,000

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.