View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Level 3 Evaluations: City-SPIRIT Case Study Questions - 2022	Agency IC Tracking Number:	1190-0021

IC Status: New

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
Form and Instruction	1190-0021	Level 3 Evaluations: City-SPIRIT Case Study Questions	CRS-City-SPIRIT Form 1190-0021.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: 110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	110	0	110	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Level 3 Evaluations: City-SPIRIT Case Template	City-SPIRIT Case Study Template 1190-0021.docx	06/01/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.