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Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 267864
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202410-0970-003
IC 267864
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-11-12 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.pdf
Other-Survey
SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx
Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Perio
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period
Agency IC Tracking Number:
OFA
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-Survey
Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.pdf
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:
21
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 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
21
0
0
0
0
21
Annual IC Time Burden (Hours)
7
0
0
0
0
7
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period
SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx
05/22/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.