Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 258067 under ICR 202603-0970-003 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ECSH Reporting Form Ethnic Community Self-Help (ECSH) Program Data Indicators	Form
Instructions for ECSH Data Indicators_FINAL CLEARED 4.18.251 (1).docx	Instruction
1 ECSH Reporting Form ECSHPDI_DRS FINAL CLEARED 4.18.25 (1).xlsx	Form
Submission Form - ECSH GenIC Jan 2024 update.CLEAN.docx Generic PPR Submission Form - ECSH Program Data Indicators	IC Document
Generic PPR NOA_ECSH_0970-0490_1.25.23.pdf NOA - ECSH Program Data Indicators	IC Document
Change Request ECSH GenICs_Generic PPR_Jan 2024 Update CLEAN.docx Change Request - ECSH Gender Q and # Respondents	IC Document

IC Title:

Ethnic Community Self-Help (ECSH) Program Data Indicators

Agency IC Tracking Number:

ORR - Refugee

IC Status: Unchanged

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
Instruction					Yes	Yes	Printable Only
Form	1				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: 48

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
	Requested	Previously Approved
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	192	192
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - ECSH Program Data Indicators		01/24/2024
NOA - ECSH Program Data Indicators		01/25/2023
Change Request - ECSH Gender Q and # Respondents		01/24/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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