Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Alien Children Modified 200 300 0 Form M-16
Child Care and Development Fund (CCDF) Lead Agency Monitoring Profile & Document Submission Chart Unchanged 52 520 0 Form and Instruction 1
Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet Unchanged 17 850 0 Other-Monitoring Packet
Community Services Block Grant (CSBG) Training and Technical Assistance Tracking Form Unchanged 80 60 0 Form 1
Community Services Block Grant (CSBG) Work Plan Template Unchanged 20 65 0 Other-Template
Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Unchanged 152 304 0 Form 1
Instruction
Office of Grants Management Financial Monitoring Review Unchanged 380 380 0 Form and Instruction 1
Other-Questionnaire
Office of Head Start Child Incident Reporting Unchanged 4800 800 0 Other-Reporting Tab
Office of Head Start Improper Payment Reviews Unchanged 600 1800 0 Form 1
Form 2
Office of Head Start Survey on COVID-19 Mitigation Plan Unchanged 100 8 0 Other-Survey
Office of Refugee Resettlement (ORR) Care Provider Healthcare Delivery Report (HDR) Unchanged 225 338 0 Form 1
Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements Unchanged 87 435 0 Instruction
Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements Unchanged 25 500 0 Instruction
Office of Refugee Resettlement (ORR) Refugee Career Pathways (RCP) Case File Requirements Unchanged 42 840 0 Instruction
Office of Refugee Resettlement (ORR) Refugee Family Child Care Microenterprise Development (RFCCMED) File Requirements Unchanged 15 150 0 Instruction
Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements Unchanged 31 620 0 Instruction
Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements Unchanged 30 600 0 Instruction
Office of Refugee Resettlement Emergency Operations Plan Survey Unchanged 99 74 0 Other-Survey
Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ) Unchanged 87 1740 0 Other-Questionnaire
Office of Refugee Resettlement Monitoring Residential Care Provider Staffing & Vacancies Unchanged 4320 6480 0 Other-
Office of Refugee Resettlement Monitoring of the Status of Required Licensure for Residential Care Providers Unchanged 240 120 0 Instruction
Office of Refugee Resettlement Refugee Career Pathways (RCP) Program Pre-Monitoring Questionnaire (PMQ) Unchanged 14 70 0 Other-Questionnaire
Office of Refugee Resettlement Refugee Individual Development Accounts (IDA) Program Pre-Monitoring Questionnaire (PMQ) Unchanged 28 84 0 Other-Questionnaire
Office of Refugee Resettlement Refugee Microenterprise Development (MED) Program Pre-Monitoring Questionnaire (PMQ) Unchanged 15 75 0 Other-Questionnaire
Office of Refugee Resettlement Services to Afghan Survivors of Combat (SASIC) Program Notification Letter and Pre-Monitoring Questionnaire (PMQ) Unchanged 24 120 0 Other-Questionnaire
Instruction
Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT) Unchanged 105 1050 0 Other-Monitoring Tool
Survivors of Torture Integrated Care Continuum (SOT-ICC) Unchanged 35 140 0 Form and Instruction 1
Total burden requested under this ICR: 11823 18523 0  
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