On-line Data Entry Screens

Electronic Data Exchange (EDE)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0435 can be found here:

Documents and Forms

Document Name Document Type
Form 1 On-line Data Entry Screens Form and Instruction
1 EDE Screen Shots EDE_Screens_0970-0435.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	On-line Data Entry Screens	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 303.7(a)(5)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	EDE Screen Shots	EDE_Screens_0970-0435.pdf		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: 38	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50,464	23,032	27,432
Annual IC Time Burden (Hours)	855	398	457
Annual IC Cost Burden (Dollars)	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.