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Request for State Data Needed to Determine the Amount of a Tribal Family Assistance Grant
Request for State Data Needed to Determine the Amount of a Tribal Family Assistance Grant
OMB: 0970-0173
IC ID: 9969
OMB.report
HHS/ACF
OMB 0970-0173
ICR 201009-0970-005
IC 9969
( )
Documents and Forms
Document Name
Document Type
StDataReqLtr-07.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for State Data Needed to Determine the Amount of a Tribal Family Assistance Grant
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
StDataReqLtr-07.doc
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:
4
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
4
0
0
-11
0
15
Annual IC Time Burden (Hours)
168
0
0
-462
0
630
Annual IC Cost Burden (Dollars)
0
0
0
-80,000
0
80,000
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.