Information Collection

Statistical Report On Public Assistance Applications, Cases Approved, And Cases Discontinued, Parts I, Ii, Iii

IC 114911 under ICR 197512-0960-004 · OMB 0960-0148.

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Information Collection (IC) Details

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IC Title:	STATISTICAL REPORT ON PUBLIC ASSISTANCE APPLICATIONS, CASES APPROVED, AND CASES DISCONTINUED, PARTS I, II, III	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SRSNCS2079				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 232	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	232	232
Annual IC Time Burden (Hours)	17,400	17,400
Annual IC Cost Burden (Dollars)	0	0

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