QUARTERLY STATEMENT OF EXPENDITURES FOR FOSTER CARE AND ADOPTION ASSISTANCE

ICR 198409-0980-003

OMB: 0980-0131

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
0980-0131 198409-0980-003
Historical Active 198402-0980-003
HHS/HDSO
QUARTERLY STATEMENT OF EXPENDITURES FOR FOSTER CARE AND ADOPTION ASSISTANCE
Revision of a currently approved collection   No
Regular
Approved without change 12/06/1984
Retrieve Notice of Action (NOA) 09/10/1984
APPROVED WITH THE FOLLOWING CONDITIONS:(1)Q.5'S MONTHLY BREAKDOWN IS T BE DELETED, (2) Q.9 IS TO BE REVISED:"AVE. MO. NO. OF CHILD." IS TO BE REPLACED WITH "NO. OF CHILDREN ON LAST DAY OF QUARTER" AND EACH OF THE 7 CATEGORIES (FOSTER HOMES, PRIVATE INSTITUTIONS,...) ARE TO BE DIVIDED INTO 2 CATEGORIES:"STATE SUPPORT ONLY" AND "FEDERAL SUPPORT" (THE LATTER INCLUDES THOSE HOMES OR INSTITUTIONS THAT RECEIVE ANY FEDERAL SUPPORT), (3) A NEW SECTION IS TO BE ADDED ("Q.10") THAT WILL EXACTLY PARALLEL Q.9, EXCEPT THAT "NO. OF CHILDREN ON LAST DAY OF QUARTER" IS TO BE REPLACED WITH "NO. OF CHILDREN WHO ARE NEW PLACEMENTS DURING THE PAST QUARTER." THESE CHANGES WILL ENHANCE THE FORM'S PRACTICAL UTILITY.
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987 09/30/1984
204 0 204
1,632 0 1,632
0 0 0

INFORMATION IS USED TO DETERMINE - AMOUNT OF FEDERAL SHARE OF PROGRAM EXPENDITURES, AMOUNT OF ANNUAL ALLOTMENT AS LIMITED BY PL.L 96-272, AND TO CONDUCT PROGRAM STUDY FOR MANDATED REPORT TO CONGRESS.

None
None


No

1
IC Title Form No. Form Name
QUARTERLY STATEMENT OF EXPENDITURES FOR FOSTER CARE AND ADOPTION ASSISTANCE IV-E-2

  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 204 204 0 0 0 0
Annual Time Burden (Hours) 1,632 1,632 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
09/10/1984


© 2024 OMB.report | Privacy Policy