AFDC MONTHLY REPORTING

ICR 198703-0970-025

OMB: 0970-0021

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
115801
Migrated
ICR Details
0970-0021 198703-0970-025
Historical Active 198511-0960-015
HHS/ACF
AFDC MONTHLY REPORTING
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/24/1987
Retrieve Notice of Action (NOA) 03/24/1987
  Inventory as of this Action Requested Previously Approved
09/30/1987 09/30/1987
244,772 0 0
979,096 0 0
0 0 0

NONEXEMPT AFDC HOUSEHOLDS ARE REQUIRED TO SUBMIT A MONTHLY REPORT TO ACCURATELY REFLECT HOUSEHOLD INCOME, RESOURCES, FAMILY COMPOSITION AND CIRCUMSTANCES TO ENSURE DETERMINATION OF PROPER ASSISTANCE PAYMENTS. THE AFFECTED PUBLIC IS COMPRISED OF RECIPIENTS OF AFDC.

None
None


No

1
IC Title Form No. Form Name
AFDC MONTHLY REPORTING

  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 244,772 0 0 0 244,772 0
Annual Time Burden (Hours) 979,096 0 0 0 979,096 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.
03/24/1987


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