RECIPIENT SURVEY FOR THE MONTHLY REPORTING AND RETROSPECTIVE ACCOUNTING STUDY

ICR 198009-0990-001

OMB: 0990-0054

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0990-0054 198009-0990-001
Historical Active
HHS/HHSDM
RECIPIENT SURVEY FOR THE MONTHLY REPORTING AND RETROSPECTIVE ACCOUNTING STUDY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/30/1980
Retrieve Notice of Action (NOA) 09/12/1980
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
4,830 0 0
3,620 0 0
0 0 0

MR SYSTEMS ARE MAJOR CHANGE IN AFDC CLIENTS PROVIDING INFORMATION TO AGENCIES. INTERVIEW OF AFDC CLIENTS WILL DETERMINE EXTENT AND NATURE OF PROBLEMS WITH MR FORM, DEGREE TO WHCIH FORM INCREASES TIME AND COSTS OF REPORTING IN TERMS OF INCIDENCE OF FAILURE TO PROVIDE BENEFITS WHEN NEEDED AND BENEFITS TO ELIGIBLE HOUSEHOLDS, EFFECTS ON QUALITY OF NONFINANCIAL SERVICES PROVIDED TO CLIENTS, AND WAY IN WHICH SYSTEM CHANGES CLIENT INTERACTION WITH AGENCY PERSONNEL.

None
None


No

1
IC Title Form No. Form Name
RECIPIENT SURVEY FOR THE MONTHLY REPORTING AND RETROSPECTIVE ACCOUNTING STUDY OS-19-80

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,830 0 0 4,830 0 0
Annual Time Burden (Hours) 3,620 0 0 3,620 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/12/1980


© 2024 OMB.report | Privacy Policy