View Information Collection (IC)

View Information Collection (IC)

IC Title:	Ethnic Community Self-Help (ECSH) Program Data Indicators	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FInal Instructions for ECSH Data Indicators_zc2.docx		Yes	Yes	Fillable Printable
Form	1	ECSH Data Indicators	Final ECSH Data Indicators.xlsx		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: 20	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: 0 %

	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	40	0	40	0	0	0
Annual IC Time Burden (Hours)	80	0	80	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Generic PPR Submission Form - ECSH Program Data Indicators	Final Justification template for PPR Gen IC_zc2.docx	10/01/2019

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