Information Collection

Instrument 4 - Subrecipient Data Collection and Reporting Form

IC 236139 under ICR 202512-0970-004 · OMB 0970-0536.

Documents and Forms

Document Name Document Type
Form 2 Instrument 4 - Subrecipient Data Collection and Reporting Form Form and Instruction
Form 2 CURRENT Subrecipient Data Collection and Reporting Form Instrument 4 - Subrecipient Data Collection and Reporting Form Form and Instruction
Form 2 2026 Subrecipient Data Collection and Reporting Form Instrument 4 - Subrecipient Data Collection and Reporting Form Form and Instruction
2 CURRENT Subrecipient Data Collection and Reporting Form Instrument 4 (Current) Subrecipient Data Collection and Reporting Form.docx Form and Instruction
2 CURRENT Subrecipient Data Collection and Reporting Form Instrument 4 (Current) Subrecipient Data Collection and Reporting Form.docx Form and Instruction
2 2026 Subrecipient Data Collection and Reporting Form Instrument 4 (Implement 2026) Subrecipient Data Collection and Reporting Form_clean.docx Form and Instruction
2 2026 Subrecipient Data Collection and Reporting Form Instrument 4 (Implement 2026) Subrecipient Data Collection and Reporting Form_clean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 4 - Subrecipient Data Collection and Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	2	CURRENT Subrecipient Data Collection and Reporting Form	Instrument 4 (Current) Subrecipient Data Collection and Reporting Form.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	2026 Subrecipient Data Collection and Reporting Form	Instrument 4 (Implement 2026) Subrecipient Data Collection and Reporting Form_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OPRE Research and Evaluation Project Records, 09-80-0361	FR Citation: 87 FR 57198

Number of Respondents: 490	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	980	-502	1,482
Annual IC Time Burden (Hours)	12,740	-6,526	19,266
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.

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