Section 704 Annual Performance Report for State Indepenent Living Program Part 1

Section 704 Annual Performance Report (Parts I and II)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0043 can be found here:

Documents and Forms

Document Name Document Type
Part I - Instructions - 2017 Extension (2).doc Instruction
1 Part I Instrument 2017 Part I - Instrument - 2017 revised Extension.doc Form

Information Collection (IC) Details

IC Title:	Section 704 Annual Performance Report for State Indepenent Living Program Part 1	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 366 34 CFR 364 34 CFR 365

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Part I - Instructions - 2017 Extension (2).doc		Yes	Yes	Fillable Fileable
Form	1	Part I Instrument 2017	Part I - Instrument - 2017 revised Extension.doc		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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	1,960	1,960
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.