FINANCIAL STATUS REPORT

ICR 198309-0960-002

OMB: 0960-0235

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115075 Migrated
ICR Details
0960-0235 198309-0960-002
Historical Active 198112-0960-013
SSA
FINANCIAL STATUS REPORT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/06/1983
Retrieve Notice of Action (NOA) 09/23/1983
  Inventory as of this Action Requested Previously Approved
02/28/1986 02/28/1986
54 0 0
216 0 0
0 0 0

THE INFORMATION COLLECTED BY THE USE OF THIS FORM IS USED TO MONITOR THE PROGRAM'S OPERATION AND TO COMPUTE THE QUARTERLY GRANT AWARD FOR EACH STATE. THE DATA COLLECTED ARE INCLUDED IN THE REQUIRED ANNUAL REPORT TO CONGRESS. THE FORMS ARE COMPLETED BY STATE AGENCIES ADMINISTERING THE CHILD SUPPORT ENFORCEMENT PROGRAM.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT OCSE-41

  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 54 0 0 54 0 0
Annual Time Burden (Hours) 216 0 0 216 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.
09/23/1983


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