Information Collection

Reporting And Recordkeeping Requirements Under Title Xx Of The Social Security Act, The Social Services Block Grant Program (ssbg), Specifically Section 2004 And 2006

IC 116224 under ICR 198312-0980-001 · OMB 0980-0125.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0125 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REPORTING AND RECORDKEEPING REQUIREMENTS UNDER TITLE XX OF THE SOCIAL SECURITY ACT, THE SOCIAL SERVICES BLOCK GRANT PROGRAM (SSBG), SPECIFICALLY SECTION 2004 AND 2006	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:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	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	Previously Approved
Annual Number of Responses for this IC	85	28	57
Annual IC Time Burden (Hours)	150,000	-150,000	300,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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