OMB
.report
Search
Input Record
Federal Tax Offset, Administrative Offset, and Passport Denial Programs
OMB: 0970-0161
IC ID: 179584
OMB.report
HHS/ACF
OMB 0970-0161
ICR 202203-0970-009
IC 179584
( )
Documents and Forms
Document Name
Document Type
Form 1
Input Record
Form and Instruction
1 Input Records
0970-0161_TOAOPD_Input_Record_Specifications_FINAL.docx
Form and Instruction
1 Input Records
0970-0161_TOAOPD_Input_Record_Specifications_FINAL.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Input Record
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Input Records
0970-0161_TOAOPD_Input_Record_Specifications_FINAL.docx
Yes
Yes
Fillable Fileable
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:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
99 %
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
2,808
0
0
0
0
2,808
Annual IC Time Burden (Hours)
842
0
0
0
0
842
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.