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Eligibility Information from Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer
ACF’s Generic Clearance for Reviewer Recruitment Forms
OMB: 0970-0477
IC ID: 259801
OMB.report
HHS/ACF
OMB 0970-0477
ICR 202304-0970-005
IC 259801
( )
Documents and Forms
Document Name
Document Type
Fillable Reviewer Information Form for General Reveiwer List wmd.docx
Other-
Fillable Reviewer Information Form for General Reveiwer List wmd.docx
Other-
Fillable Reviewer Information Form for Specific Reviews wmd.docx
Other-
Fillable Reviewer Information Form for Specific Reviews wmd.docx
Other-
GRR Request Form OPRE.docx
Reviewer Recruitment Submission Form - OPRE
IC Document
GRR Request Form OPRE.docx
Reviewer Recruitment Submission Form - OPRE
IC Document
NOA - GRR Request Form OPRE_4.4.16.pdf
NOA - OPRE Generic Grant Reviewer Recruitment Forms
IC Document
NOA - GRR Request Form OPRE_4.4.16.pdf
NOA - OPRE Generic Grant Reviewer Recruitment Forms
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Eligibility Information from Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer
Agency IC Tracking Number:
OPRE
IC Status:
New
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
Other-
Fillable Reviewer Information Form for General Reveiwer List wmd.docx
Yes
Yes
Fillable Fileable
Other-
Fillable Reviewer Information Form for Specific Reviews wmd.docx
Yes
Yes
Fillable Fileable
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:
95
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
95
0
95
0
0
0
Annual IC Time Burden (Hours)
16
0
16
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Reviewer Recruitment Submission Form - OPRE
GRR Request Form OPRE.docx
04/20/2023
NOA - OPRE Generic Grant Reviewer Recruitment Forms
NOA - GRR Request Form OPRE_4.4.16.pdf
04/20/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.