SYSTEM STATUS REPORT

ICR 198703-0970-054

OMB: 0970-0050

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
115876 Migrated
ICR Details
0970-0050 198703-0970-054
Historical Active
HHS/ACF
SYSTEM STATUS REPORT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/24/1987
Retrieve Notice of Action (NOA) 03/24/1987
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987
148 0 0
296 0 0
0 0 0

THE FORM IS NEEDED TO MONITOR THE STATES' ACTIVITY IN DEVELOPING THEIR SYSTEM AND AS AN INDICATOR OF WHETHER A STATE IS MEETING ITS OBJECTIVE AND IS ENTITLED TO INCENTIVE FUNDING. THE AFFECTED PUBLIC IS COMPRISE OF STATE AGENCIES ADMINISTERING THE AFDC PROGRAM.

None
None


No

1
IC Title Form No. Form Name
SYSTEM STATUS REPORT SSA-1171

  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 148 0 0 0 148 0
Annual Time Burden (Hours) 296 0 0 0 296 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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