Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Document Name Document Type
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories Form
696 form instructions for renewal_clean (OGM & OCC) (4.4.24).docx Instruction
696 form instructions for renewal_clean (OGM & OCC) (4.4.24).docx Instruction
696 Child Care and Development Fund (CCDF) ACF-696 Financial Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx Form
696 Child Care and Development Fund (CCDF) ACF-696 Financial Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx Form
mandatory_grant_submission_ACF696_4.5.24.docx Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories IC Document
mandatory_grant_submission_ACF696_4.5.24.docx Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories IC Document

Information Collection (IC) Details

IC Title:	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Agency IC Tracking Number:	OCC

IC Status: New

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	696	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx		Yes	Yes	Fillable Fileable
Instruction			696 form instructions for renewal_clean (OGM & OCC) (4.4.24).docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	1,344	1,344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories	mandatory_grant_submission_ACF696_4.5.24.docx	05/01/2024

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