Information Collection

Orr-2

IC 201750 under ICR 201203-0970-008 · OMB 0970-0407.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0407 can be found here:

Documents and Forms

Document Name Document Type
Form 1 ORR-2 Form
1 ORR-2 ORR-2 12-11.xlsx Form
Instructions for ORR-2 3-19-12 (2).doc ORR-2, Instructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ORR-2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 400.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ORR-2	ORR-2 12-11.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	232	232
Annual IC Time Burden (Hours)	348	348
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ORR-2, Instructions	Instructions for ORR-2 3-19-12 (2).doc	03/27/2012

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