CFS-101, Parts I, II, and III

Child & Family Services Plan (CFSP), Annual Progress & Services Report (APSR), & Annual Budget Expenses Request & Estimated Expenditures (CFS-101s)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0426 can be found here:

Documents and Forms

Document Name Document Type
Form CFS-101 Forms CFS-101, Parts I, II, and III Form
0970-0426 CFS-101 Instructions _April 2020.docx Instruction
CFS-101 Forms CFS-101 Forms 0970-0426 CFS-101 Forms - Clean.xlsx Form

Information Collection (IC) Details

IC Title:	CFS-101, Parts I, II, and III	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1357.15

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CFS-101 Forms	CFS-101 Forms	0970-0426 CFS-101 Forms - Clean.xlsx		Yes	Yes	Fillable Fileable
Instruction			0970-0426 CFS-101 Instructions _April 2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 233	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	233	-9	242
Annual IC Time Burden (Hours)	1,165	-45	1,210
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.