Information Collection

Quarterly PPR Collections

IC 264803 under ICR 202401-0970-016 · OMB 0970-0628.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0628 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 4 - Quarterly PPR Questions.docx	Other-Quarterly PPR
Instrument 4 - Quarterly PPR Questions.docx	Other-Quarterly PPR

IC Title:

Quarterly PPR Collections

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-Quarterly PPR			Instrument 4 - Quarterly PPR Questions.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: 9

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	72	72
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.