Complete Program Assessment Report

State Court Improvement Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0307 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Complete Program Assessment Report Form and Instruction
1 Complete Program Assessment Report 2 - CIP Annual Self-Assessment Template_11.22.19.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Complete Program Assessment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	1	Complete Program Assessment Report	2 - CIP Annual Self-Assessment Template_11.22.19.docx		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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	156	104	52
Annual IC Time Burden (Hours)	5,928	4,056	1,872
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.