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Annual Data Report (ADR)
Administration for Native Americans (ANA) Annual Data Report (ADR)
OMB: 0970-0475
IC ID: 220434
OMB.report
HHS/ACF
OMB 0970-0475
ICR 202202-0970-009
IC 220434
( )
Documents and Forms
Document Name
Document Type
Form 1
Annual Data Report (ADR)
Form
ADR Instructions.pdf
Instruction
ADR Instructions.pdf
Instruction
Guidance SEEDS Business and RevenueTrackingFINAL.pdf
Instruction
Guidance SEEDS Business and RevenueTrackingFINAL.pdf
Instruction
Guidance SEEDS Employment TrackingFINAL.pdf
Instruction
Guidance SEEDS Employment TrackingFINAL.pdf
Instruction
1 Annual Data Report
ADR FINAL.pdf
Form
1 Annual Data Report
ADR FINAL.pdf
Form
1 SEEDS
SEEDS Data Collection ResourceFINAL.xlsx
Form
1 SEEDS
SEEDS Data Collection ResourceFINAL.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Data Report (ADR)
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
1
Annual Data Report
ADR FINAL.pdf
Yes
Yes
Fillable Printable
Instruction
ADR Instructions.pdf
Yes
Yes
Fillable Printable
Form
1
SEEDS
SEEDS Data Collection ResourceFINAL.xlsx
Yes
Yes
Fillable Printable
Instruction
Guidance SEEDS Business and RevenueTrackingFINAL.pdf
Yes
Yes
Fillable Printable
Instruction
Guidance SEEDS Employment TrackingFINAL.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
80
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
80
0
-195
0
0
275
Annual IC Time Burden (Hours)
80
0
-195
0
0
275
Annual IC Cost Burden (Dollars)
0
0
0
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.