Center for States GovDelivery Subscription Form

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Center for States SubscriptionForm_Dec 23_for OMB.docx Other-Subscription Form
SSA - Formative GenIC for ACF Program Support_ Center for States_ Gov Delivery Subscription Form.docx SSA - Center for States GovDelivery Subscription Form IC Document

Information Collection (IC) Details

IC Title:	Center for States GovDelivery Subscription Form	Agency IC Tracking Number:	CB

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Subscription Form			Center for States SubscriptionForm_Dec 23_for OMB.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: 2,000	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	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Center for States GovDelivery Subscription Form	SSA - Formative GenIC for ACF Program Support_ Center for States_ Gov Delivery Subscription Form.docx	12/11/2023

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