Information Collection

Instrument 4 - Subrecipient Data Collection and Reporting Form

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

Documents and Forms

Documents and forms in this information collection
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

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
Form and Instruction	2				Yes	Yes	Fillable Fileable
Form and Instruction	2				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 %

table that charts list of burden
	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

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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