Public Assistance Progress Report and Program Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0017 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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IC Title:	Public Assistance Progress Report and Program Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	90-121	Yes	Yes
Form	90-49	Yes	Yes
Form	90-91-A-D	Yes	Yes
Form	90-128	Yes	Yes
Form	90-123	Yes	Yes
Form	90-120	Yes	Yes
Form	90-127	Yes	Yes
Form	90-124	Yes	Yes
Form	90-126	Yes	Yes
Form	90-125	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,070	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Previously Approved
Annual Number of Responses for this IC	263,054	263,054
Annual IC Time Burden (Hours)	134,562	134,562
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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