Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 279418 under ICR 202603-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 ECSH Reporting Form Ethnic Community Self-Help (ECSH) Program Data Indicators Form
Form 1 ECSH Reporting Form Ethnic Community Self-Help (ECSH) Program Data Indicators Form
Instructions for ECSH Data Indicators_FINAL CLEARED 4.18.251.docx Instruction
Instructions for ECSH Data Indicators_FINAL CLEARED 4.18.251.docx Instruction
1 ECSH Reporting Form ECSHPDI_DRS FINAL CLEARED 4.18.25.xlsx Form
1 ECSH Reporting Form ECSHPDI_DRS FINAL CLEARED 4.18.25.xlsx Form
Submission Form - ECSH GenIC Dec 2025 update.CLEAN.docx PPR GenIC - ECSH Program Data IC Document
Submission Form - ECSH GenIC Dec 2025 update.CLEAN.docx PPR GenIC - ECSH Program Data IC Document
NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf NOA - ECSH PDI IC Document
NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf NOA - ECSH PDI IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ethnic Community Self-Help (ECSH) Program Data Indicators	Agency IC Tracking Number:	ORR-Ref

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ECSH Reporting Form	ECSHPDI_DRS FINAL CLEARED 4.18.25.xlsx		Yes	Yes	Fillable Fileable
Instruction			Instructions for ECSH Data Indicators_FINAL CLEARED 4.18.251.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PPR GenIC - ECSH Program Data	Submission Form - ECSH GenIC Dec 2025 update.CLEAN.docx	03/11/2026
NOA - ECSH PDI	NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf	03/11/2026

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

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