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

ICR 198904-0980-008

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 198904-0980-008
Historical Active 198904-0980-004
HHS/HDSO
STATE PLAN FOR TITLE IV-E OF THE SOCIAL SECURITY ACT, FEDERAL PAYMENTS FOR FOSTER CARE AND ADOPTION ASSISTANCE
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/10/1989
Approved with change 04/10/1989
Retrieve Notice of Action (NOA) 04/10/1989
  Inventory as of this Action Requested Previously Approved
03/31/1991 03/31/1991 03/31/1991
51 0 51
663 0 663
0 0 0

REQUIRED BY SECTION 47 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 DEVELOP 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 51 0 0 0 0
Annual Time Burden (Hours) 663 663 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.
04/10/1989


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