INTEGRATED REVIEW SCHEDULE

ICR 198505-0960-009

OMB: 0960-0313

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
115283 Migrated
ICR Details
0960-0313 198505-0960-009
Historical Active 198411-0960-008
SSA
INTEGRATED REVIEW SCHEDULE
Revision of a currently approved collection   No
Regular
Approved without change 08/26/1985
Retrieve Notice of Action (NOA) 05/30/1985
  Inventory as of this Action Requested Previously Approved
08/31/1988 08/31/1988 01/31/1986
82,000 0 80,581
82,000 0 48,340
0 0 0

STATE AGENCIES ARE REQUIRED TO PERFORM QUALITY CONTROL REVIEWS FOR EAC OF THE 3 FEDERAL ASSISTANCE PROGRAMS: AFDC, FS AND MEDICAID. THE INTEGRATED REVIEW SCHEDULE IS JOINTLY DESIGNED AND USED BY SSA, FNS AN HCFA. THE REVIEW SCHEDULE SERVES AS THE COMPREHENSIVE DATA ENTRY FORM FOR ALL QUALITY CONTROL REVIEWS IN THE AFDC, FS AND MEDICAID PROGRAMS.

None
None


No

1
IC Title Form No. Form Name
INTEGRATED REVIEW SCHEDULE SSA-4357, HCFA-301, FNS-380-1

  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 82,000 80,581 0 60 1,359 0
Annual Time Burden (Hours) 82,000 48,340 0 1,419 32,241 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.
05/30/1985


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