View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
ORR-6
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 400.28(b)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
pra_orr_6_schedule_a_narrative_2022nonsub.docx
Yes
Yes
Fillable Printable
Form
ORR-6
ORR-6 Schedule B
PRA_ORR-6 Schedule B Exp 02.28.2022_WF NonSub Change_clean.xlsx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule C
PRA_ORR-6 Schedule C_RSS.xlsx
Yes
Yes
Fillable Printable
Form
ORR-6
Schedule D
pra_orr_6_schedule_d_sor_rsig_2022nonsub.xlsx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule E
PRA_ORR-6 Schedule E_URM Data_2022nonsub.xlsx
Yes
Yes
Fillable Printable
Instruction
PRA_ORR-6 Schedule E_URM Narrative.docx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule F
pra_orr_6_schedule_f_rma_and_medical_screening_2022nonsub.xlsx
Yes
Yes
Fillable Printable
Instruction
PRA_ORR-6_Annual Service Plan Instructions_2022nonsub.docx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Annual Service Plan
PRA_ORR-6 Annual Service Plan_Exp 02.28_2022nonsub.xlsx
Yes
Yes
Fillable Printable
Instruction
PRA_ORR-6 Instructions_Exp 02.28.2022_2022Nonsub.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
64
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
128
0
10
0
0
118
Annual IC Time Burden (Hours)
1,920
0
150
0
0
1,770
Annual IC Cost Burden (Dollars)
0
0
0
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.