Information Collection

2023 Version – Semi-Annual Quantitative Report MANDATORY

IC 264804 under ICR 202408-0970-011 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Instrument 5 2023 Version - Semi-Annual Quantitative Report Mandatory Form.xlsx Other-Semi Annual Report
Instrument 5 2023 Version - Semi-Annual Quantitative Report Mandatory Form.xlsx Other-Semi Annual Report

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2023 Version â Semi-Annual Quantitative Report MANDATORY	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Semi Annual Report			Instrument 5 2023 Version - Semi-Annual Quantitative Report Mandatory Form.xlsx		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: 3	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4	-14	18
Annual IC Time Burden (Hours)	12	-42	54
Annual IC Cost Burden (Dollars)	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.