Information Collection

Req. 1 -- American Data Rescue Plan (Behavioral Health study, Homelessness study, State Coordination Strategies study)

IC 270559 under ICR 202402-3090-002 · OMB 3090-0332.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instruments.pdf	Other-Survey, Interview
ARP_National_Evaluation_Supporting_Statements_A and B_508.docx ARP_National_Evaluation_Supporting_Statements_A and B	IC Document
FR. 8.30.24.pdf 30-day Federal Register Notice	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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-Survey, Interview			Instruments.pdf		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: 569

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	569	569
Annual IC Time Burden (Hours)	432	432
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ARP_National_Evaluation_Supporting_Statements_A and B	ARP_National_Evaluation_Supporting_Statements_A and B_508.docx	08/30/2024
30-day Federal Register Notice	FR. 8.30.24.pdf	08/30/2024

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