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Federal forms, ICRs, and supporting documents

Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

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

Documents and Forms
Document Name
Document Type
Form
Instruction
Form
IC Document
IC Document
Information Collection (IC) Details

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Ethnic Community Self-Help (ECSH) Program Data Indicators ORR-Ref
 
Unchanged
 
Required to Obtain or Retain Benefits
 

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

Community and Social Services Social Services

 

27 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 54 0 0 0 0 54
Annual IC Time Burden (Hours) 108 0 0 0 0 108
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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