SSP-MOE Data Report

DRA TANF Final Rule

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:

Documents and Forms

Document Name Document Type
Form 2 SSP-MOE Data Report Form
1 MOE Report 1 sspmoerpt1.xls Form
2 MOE Report 2 ssprpt2f.pdf Form
3 MOE Report 3 ssprpt3f.pdf Form
4 MOE Report 4 ssprpt4frev.pdf Form
SSP-MOE Instruction1.pdf MOE 1 Inst. IC Document
SSP-MOE Instruction2.pdf SSP-MOE Instruction2 IC Document
SSP-MOE Instruction3.pdf SSP-MOE Instruction3 IC Document
SSP-MOE Instruction4.pdf SSP-MOE Instruction4 IC Document

Information Collection (IC) Details

IC Title:	SSP-MOE Data Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2	MOE Report 2	ssprpt2f.pdf	Yes	Yes	Fillable Printable
Form	3	MOE Report 3	ssprpt3f.pdf	Yes	Yes	Fillable Printable
Form	4	MOE Report 4	ssprpt4frev.pdf	Yes	Yes	Fillable Printable
Form	1	MOE Report 1	sspmoerpt1.xls	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 29	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	82,824	82,824
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.