Information Collection

REG Data Collection - Individuals

IC 195847 under ICR 202010-0503-002 · OMB 0503-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0019 can be found here:

Documents and Forms

Document Name Document Type
Form AD-2106 REG Data Collection - Individuals Form
AD-2106 REG Form AD2106 CivilRightsREGQuestionaire.docx Form
AD-2106 REG Form AD2106 CivilRightsREGQuestionaire.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REG Data Collection - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	AD-2106	REG Form	AD2106 CivilRightsREGQuestionaire.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,910,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,910,000	-1,290,000	3,200,000
Annual IC Time Burden (Hours)	63,793	-42,874	106,667
Annual IC Cost Burden (Dollars)	0	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.