STATE PLAN FOR FOSTER CARE AND ADOPTION ASSISTANCE (TITLE IV-E)

ICR 198409-0980-002

OMB: 0980-0141

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
0980-0141 198409-0980-002
Historical Active 198208-0980-002
HHS/HDSO
STATE PLAN FOR FOSTER CARE AND ADOPTION ASSISTANCE (TITLE IV-E)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/05/1984
Retrieve Notice of Action (NOA) 09/28/1984
  Inventory as of this Action Requested Previously Approved
08/31/1987 08/31/1987
51 0 0
102 0 0
0 0 0

REQUIRED BY SECTION 471 OF THE SOCIAL SECURITY ACT FROM ANY STATE WISHING TO CLAIM FFP FOR FOSTER CARE AND ADOPTION ASSISTANCE. STATE M USE A PREPRINTED FORMAT OR MAY DEVELOP ITS OWN FORMAT WHICH MEETS REQUIREMENTS OF LAW.

None
None


No

1
IC Title Form No. Form Name
STATE PLAN FOR FOSTER CARE AND ADOPTION ASSISTANCE (TITLE IV-E)

  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 51 0 0 51 0 0
Annual Time Burden (Hours) 102 0 0 102 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.
09/28/1984


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