STATE PLAN FOR TITLE IV-E OF THE SOCIAL SECURITY ACT, FEDERAL PAYMENTS FOR FOSTER CARE AND ADOPTION ASSISTANCE

ICR 198805-0980-002

OMB: 0980-0141

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0980-0141 198805-0980-002
Historical Active 198409-0980-002
HHS/HDSO
STATE PLAN FOR TITLE IV-E OF THE SOCIAL SECURITY ACT, FEDERAL PAYMENTS FOR FOSTER CARE AND ADOPTION ASSISTANCE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/05/1988
Retrieve Notice of Action (NOA) 05/10/1988
  Inventory as of this Action Requested Previously Approved
03/31/1991 03/31/1991
51 0 0
663 0 0
0 0 0

REQUIRED BY SECTION 471 OF THE SOCIAL SECURITY ACT FROM ANY STATE WISHING TO CLAIM FFP UNDER TITLE IV-E FOR FOSTER CARE AND ADOPTION ASSISTANCE. STATE MAY USE A PREPRINTED FORMAT OR MAY DEVELOPE ITS OWN FORMAT PROVIDED IT MEETS THE REQUIREMENTS OF THE ACT AND INCLUDES ALL APPLICABLE STATUTORY, REGULATORY/POLICY REFERENCES AND CITATIONS FOR EACH STATE PLAN REQUIREMENT.

None
None


No

1
IC Title Form No. Form Name
STATE PLAN FOR TITLE IV-E OF THE SOCIAL SECURITY ACT, FEDERAL PAYMENTS FOR FOSTER CARE AND ADOPTION ASSISTANCE

  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 51 0 0 0 51 0
Annual Time Burden (Hours) 663 0 0 0 663 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.
05/10/1988


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