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 Clean.docx
Yes
Yes
Fillable Printable
Form
ORR-6
ORR-6 Schedule B
pra_orr_6_schedule_b Clean.xlsx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule C
pra_orr_6_schedule_c_rss Clean.xlsx
Yes
Yes
Fillable Printable
Form
ORR-6
Schedule D
pra_orr_6_schedule_d Clean.xlsx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule E
pra_orr_6_schedule_e_urm_data_2023 Clean.xlsx
Yes
Yes
Fillable Printable
Instruction
pra_orr_6_schedule_e_urm_narrative Clean.docx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Schedule F
pra_orr_6_schedule_f_rma_and_medical_screening_Clean.xlsx
Yes
Yes
Fillable Printable
Instruction
pra_orr_6_annual_service_plan_instructions Clean.docx
Yes
Yes
Fillable Printable
Form and Instruction
ORR-6
Annual Service Plan
pra_orr_6_annual_service_plan Clean.xlsx
Yes
Yes
Fillable Printable
Instruction
pra_orr_6_instructions_Clean.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
0
0
0
128
Annual IC Time Burden (Hours)
1,920
0
0
0
0
1,920
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.