Information Collection

ACL Consolidated PPR -Older Americans Act Title IV Grantee

IC 271733 under ICR 202410-0985-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACL Consolidated PPR -Older Americans Act Title IV Grantee	Form and Instruction
Title IV Grantee ACL Consolidated PPR 0985New Attachment A Template.docx	Form and Instruction

IC Title:

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
Form and Instruction	NA	Title IV Grantee	ACL Consolidated PPR 0985New Attachment A Template.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: 1,189

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,378	2,378
Annual IC Time Burden (Hours)	23,780	23,780
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.