Information Collection

Orr-2

IC 201750 under ICR 201809-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instructions ORR-2.docx Instruction
ORR-2 ORR-2 ORR-2.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ORR-2	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 400.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instructions ORR-2.docx		Yes	Yes	Fillable Printable
Form	ORR-2	ORR-2	ORR-2.xlsx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	228	228
Annual IC Time Burden (Hours)	342	342
Annual IC Cost Burden (Dollars)	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.