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Center for States GovDelivery Subscription Form
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 263875
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202411-0970-002
IC 263875
( )
Documents and Forms
Document Name
Document Type
Center for States SubscriptionForm_Dec 23_for OMB.docx
Other-Subscription Form
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
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
View Information Collection (IC)
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
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:
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
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
2,000
0
0
0
0
2,000
Annual IC Time Burden (Hours)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
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.