FINANCIAL STATUS REPORT

ICR 198708-0970-006

OMB: 0970-0025

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
115806 Migrated
ICR Details
0970-0025 198708-0970-006
Historical Active 198703-0970-029
HHS/ACF
FINANCIAL STATUS REPORT
Extension without change of a currently approved collection   No
Regular
Approved without change 10/20/1987
Retrieve Notice of Action (NOA) 08/11/1987
APPROVED UNTIL 9/88 PENDING A-102 REVISIONS.
  Inventory as of this Action Requested Previously Approved
09/30/1988 09/30/1988 09/30/1987
112 0 112
896 0 896
0 0 0

THE INFORMATION COLLECTED IS NEEDED AND USED IN REVIEWING STATE EXPENDITURES AND AS A BASIS FOR PREPARING ADJUSTMENTS TO THE QUARTERLY GRANT AWARDS TO STATES FOR THE WORK INCENTIVE DEMONSTRATION PROGRAM. THE AFFECTED PUBLIC IS COMPRISED OF STATE AGENCIES ADMINISTERING THE AFDC PROGRAM.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT SSA-4930

  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 112 112 0 0 0 0
Annual Time Burden (Hours) 896 896 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.
08/11/1987


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