Information Collection

1: Program Application and Enrollment - Program staff (1a: application form)

IC 246003 under ICR 202604-0970-010 · OMB 0970-0566.

Documents and Forms

Document Name Document Type
1a.nFORM_ApplicationForm.docx Other-Application Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	1: Program Application and Enrollment - Program staff (1a: application form)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application Form			1a.nFORM_ApplicationForm.docx		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	FR Citation: 87 FR 57198

Number of Respondents: 327	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	Previously Approved
Annual Number of Responses for this IC	45,017	-5,033	50,050
Annual IC Time Burden (Hours)	4,502	-503	5,005
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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