AFDC WIN CHANGE NOTICE

ICR 198011-0980-004

OMB: 0980-0100

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
116186 Migrated
ICR Details
0980-0100 198011-0980-004
Historical Active
HHS/HDSO
AFDC WIN CHANGE NOTICE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/26/1981
Retrieve Notice of Action (NOA) 11/19/1980
THIS REPORTING REQUIREMENT HAS BEEN DETERMINED TO BE SUBJECT TO THE FEDERAL REPORTS ACT. THE 1981 ICB ALLOWANCE FOR HHS WAS PREMISED ON THE ASSUMPTION THAT 1,462,500 HOURS WERE REQUIRED FOR THIS FORM WHICH WAS PREVIOUSLY IN USE WITHOUT OMB APPROVAL. HHS NOW REESTIMATES THAT ONLY 20,000 HOURS ARE INVOLVED. AS A CONSEQUENCE, A DOWNWARD ADJUSTMENT (-1,442,500 HOURS) WILL BE MADE TO HHS' 1981 ALLOWANCE AT THE TIME ADJUSTMENTS ARE MADE.
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983
400,000 0 0
20,000 0 0
0 0 0

THE IM-6 IS AN OPERATIONAL FORM DESIGNED TO FACILITATE COMMUNICATION CONCERNING A CHANGE IN AN APPLICANT/RECIPIENT'S WELFARE STATUS BETWEEN TWO SEPARATE AGENCIES, THE INCOME MAINTENANCE UNIT (IMU) AND THE EMPLOYMENT AND TRAINING (E&T) SPONSOR. THE FORM FACILITATES SUCH NOTIFICATION OF CHANGES, E.G., CHANGE IN EMPLOYMENT STATUS, CHANGE FROM VOLUNTARY TO MANDATORY STATUS, OR REJECTION OF AFDC APPLICATION.

None
None


No

1
IC Title Form No. Form Name
AFDC WIN CHANGE NOTICE IM-6

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 400,000 0 0 0 400,000 0
Annual Time Burden (Hours) 20,000 0 0 0 20,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/19/1980


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