Tribal Employment Information Form

Coronavirus State and Local Fiscal Recovery Funds Program

Documents and Forms

Document Name Document Type
Tribal Employment Information Form Form and Instruction
Tribal Employment Information Form 1505-0271_ARP SLFRP Tribal Employment Information Form_FINAL.docx Form and Instruction
Tribal Employment Information Form 1505-0271_ARP SLFRP Tribal Employment Information Form_FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Tribal Employment Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Tribal Employment Information Form	1505-0271_ARP SLFRP Tribal Employment Information Form_FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 584	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	584	584
Annual IC Time Burden (Hours)	438	438
Annual IC Cost Burden (Dollars)	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.