Information Collection

Ethnic Community Self-Help (ECSH) Program Data Indicators

IC 237947 under ICR 201703-0970-007 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Document Name Document Type
FInal Instructions for ECSH Data Indicators_zc2.docx Instruction
1 ECSH Data Indicators Final ECSH Data Indicators.xlsx Form
Final Justification template for PPR Gen IC_zc2.docx Generic PPR Submission Form - ECSH Program Data Indicators IC Document

Information Collection (IC) Details

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

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 Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	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.