Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 279418 under ICR 202604-0970-006 · OMB 0970-0490.

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.docx	Instruction
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
NOA - ECSH Data Indicators_Generic PPR 0970-0490_11.7.19.pdf NOA - ECSH PDI	IC Document

IC Title:

Agency IC Tracking Number:

ORR-Ref

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
Form	1				Yes	Yes	Fillable Fileable
Instruction					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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
Title	Document	Date Uploaded
PPR GenIC - ECSH Program Data		03/11/2026
NOA - ECSH PDI		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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