Information Collection

Social Services Expenditures Under Title Xx (ssa)

IC 116114 under ICR 198001-0980-001 · OMB 0980-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

SOCIAL SERVICES EXPENDITURES UNDER TITLE XX (SSA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SRS-OA 41.1	No	No
Form	SRS-OA 41.1	No	No
Form	SRS-OA 41.1	No	No
Form	SRS-OA 41	No	No
Form	SRS-OA 41	No	No
Form	SRS-OA 41.1	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	802	802
Annual IC Time Burden (Hours)	3,806	3,806
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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