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Performance Report for State Independent Living Program
Independent Living Services (ILS) Program Performance Report (PPR)
OMB: 0985-0043
IC ID: 184900
OMB.report
HHS/ACL
OMB 0985-0043
ICR 202401-0985-001
IC 184900
( )
Documents and Forms
Document Name
Document Type
0043 ILS PPR Instructions Final 2024.pdf
Instruction
ILS PPR
0043 ILS PPR Instrument 2024 SOGI.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Performance Report for State Independent Living Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
34 CFR 365
34 CFR 366
34 CFR 364
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
0043 ILS PPR Instructions Final 2024.pdf
Yes
Yes
Fillable Fileable
Form
NA
ILS PPR
0043 ILS PPR Instrument 2024 SOGI.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
56
0
0
0
0
56
Annual IC Time Burden (Hours)
1,960
0
0
0
0
1,960
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.