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Required Data Elements for Paternity Establishment Affidavits
Required Data Elements for Paternity Establishment Affidavits
OMB: 0970-0171
IC ID: 9965
OMB.report
HHS/ACF
OMB 0970-0171
ICR 201705-0970-003
IC 9965
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0171 can be found here:
2023-11-21 - Revision of a currently approved collection
2020-11-23 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Required Data Elements for Paternity Establishment Affidavits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 302
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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:
1,113,719
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
0
-1,113,719
0
1,113,719
Annual IC Time Burden (Hours)
0
0
0
-189,332
0
189,332
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.