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Form CB-496: Title IV-E Programs Quarterly Financial Report
Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs
OMB: 0970-0510
IC ID: 246232
OMB.report
HHS/ACF
OMB 0970-0510
ICR 202303-0970-002
IC 246232
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:
2024-09-26 - No material or nonsubstantive change to a currently approved collection
2024-09-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form CB-496
Form CB-496: Title IV-E Programs Quarterly Financial Report
Form
Form CB-496
Form CB-496: Title IV-E Programs Quarterly Financial Report
Form
Form CB 496 INSTRUCTIONS - 02.26.20.docx
Instruction
Form CB 496 INSTRUCTIONS - 02.26.20.docx
Instruction
CB-496 Title IV-E Programs Quarterly Financial Report
Form CB-496 FORM - Final Proposed Revision 02.27.20 Clean.xlsx
Form
CB-496 Title IV-E Programs Quarterly Financial Report
Form CB-496 FORM - Final Proposed Revision 02.27.20 Clean.xlsx
Form
CB-496 Mandatory Grant Submission Template 2.27.20.docx
CB-496 Mandatory Grant Submission Template
IC Document
CB-496 Mandatory Grant Submission Template 2.27.20.docx
CB-496 Mandatory Grant Submission Template
IC Document
NonSub Change Request - CB 496 02.27.2020.docx
NonSub Change Request - Family First Transition Act Reporting Reqs
IC Document
NonSub Change Request - CB 496 02.27.2020.docx
NonSub Change Request - Family First Transition Act Reporting Reqs
IC Document
NOA - NonSub Change CB-496_GenIC Financial Reports_0970-0510_3.9.20.pdf
NOA - CB - 496
IC Document
NOA - NonSub Change CB-496_GenIC Financial Reports_0970-0510_3.9.20.pdf
NOA - CB - 496
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form CB-496: Title IV-E Programs Quarterly Financial Report
Agency IC Tracking Number:
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CB-496
Title IV-E Programs Quarterly Financial Report
Form CB-496 FORM - Final Proposed Revision 02.27.20 Clean.xlsx
Yes
Yes
Fillable Fileable
Instruction
Form CB 496 INSTRUCTIONS - 02.26.20.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
67
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
268
0
0
0
0
268
Annual IC Time Burden (Hours)
6,700
0
0
0
0
6,700
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CB-496 Mandatory Grant Submission Template
CB-496 Mandatory Grant Submission Template 2.27.20.docx
03/12/2021
NonSub Change Request - Family First Transition Act Reporting Reqs
NonSub Change Request - CB 496 02.27.2020.docx
03/12/2021
NOA - CB - 496
NOA - NonSub Change CB-496_GenIC Financial Reports_0970-0510_3.9.20.pdf
03/12/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.