APPLICATIONS AND DISCONTINUANCES FOR AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) AND MEDICAID

ICR 198904-0970-009

OMB: 0970-0003

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0970-0003 198904-0970-009
Historical Active 198810-0970-004
HHS/ACF
APPLICATIONS AND DISCONTINUANCES FOR AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) AND MEDICAID
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/21/1989
Approved with change 04/21/1989
Retrieve Notice of Action (NOA) 04/21/1989
  Inventory as of this Action Requested Previously Approved
08/31/1989 08/31/1989 08/31/1989
216 0 216
864 0 864
0 0 0

THE INFORMATION COLLECTED BY USE OF THE FORM SSA-3800 IS NEEDED AND USED TO MONITOR THE AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) PROGRAM. THE AFFECTED PUBLIC IS COMPRISED OF STATE AGENCIES ADMINISTERING AND SUPERVISING THE ADMINISTRATION OF THE AFDC PROGRAM.

None
None


No

1
IC Title Form No. Form Name
APPLICATIONS AND DISCONTINUANCES FOR AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) AND MEDICAID SSA-3800

  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) 864 864 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.
04/21/1989


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