QUARTERLY STATEMENT OF EXPENDITURES

ICR 198606-0960-010

OMB: 0960-0294

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
115233 Migrated
ICR Details
0960-0294 198606-0960-010
Historical Active 198411-0960-006
SSA
QUARTERLY STATEMENT OF EXPENDITURES
Revision of a currently approved collection   No
Regular
Approved without change 08/20/1986
Retrieve Notice of Action (NOA) 06/25/1986
  Inventory as of this Action Requested Previously Approved
08/31/1989 08/31/1989 09/30/1986
216 0 216
432 0 432
0 0 0

THE INFORMATION COLLECTED BY USE OF FORM SSA-41 IS USED T REVIEW STATE EXPENDITURES AND AS A BASIS TO PREPARE ADJUSTMENTS TO THE QUARTERLY GRANT AWARDS TO STATES FOR THE AID TO FAMILIES WITH DEPENDEN CHILDREN (AFDC) PROGRAM. THE AFFECTED PUBLIC IS COMPRISED OF STATE AND/OR LOCAL GOVERNMENTS RESPONSIBLE FOR THE ADMINISTRATION OF THE AFD PROGRAM.

None
None


No

1
IC Title Form No. Form Name
QUARTERLY STATEMENT OF EXPENDITURES SSA-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 216 216 0 0 0 0
Annual Time Burden (Hours) 432 432 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.
06/25/1986


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