Information Collection

GRRP Application Consent Form and Survey

IC 266514 under ICR 202412-2528-005 · OMB 2528-0351.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final - AppendixB_GRRP_Application_ConsentForm_Survey.pdf	Other-GRRP Application Consent Form
Final - AppendixB_GRRP_Application_ConsentForm_Survey.pdf	Other-GRRP Application Consent Form
REV GRRP Application Consent Form and Survey_12_24.docx	Other-Survey
REV GRRP Application Consent Form and Survey_12_24.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-GRRP Application Consent Form and Survey					Yes	Yes	Fillable Fileable
Other-Survey					No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

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	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	675	675
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.

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