STATISTICAL REPORT ON RECIPIENTS UNDER PUBLIC ASSISTANCE PROGRAM

ICR 198906-0970-010

OMB: 0970-0008

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0970-0008 198906-0970-010
Historical Active 198810-0970-001
HHS/ACF
STATISTICAL REPORT ON RECIPIENTS UNDER PUBLIC ASSISTANCE PROGRAM
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/16/1989
Approved with change 06/16/1989
Retrieve Notice of Action (NOA) 06/16/1989
  Inventory as of this Action Requested Previously Approved
09/30/1989 09/30/1989 09/30/1989
216 0 216
6,480 0 6,480
0 0 0

THE INFORMATION COLLECTED BY USE OF FORM FSA-3637 IS NEEDED TO PROPERLY ADMINISTER AND MONITOR THE "AID TO FAMILIES WITH DEPENDENT CHILDREN PROGRAM BY PROVIDING INFORMATION ON A QUARTERLY BASIS TO RECIPIENTS." THIS DATA IS USED BY CONGRESS, FEDERAL AGENCIES AND OTHERS. THE AFFECTED PUBLIC IS COMPRISED OF STATE "WELFARE AGENCIES."

None
None


No

1
IC Title Form No. Form Name
STATISTICAL REPORT ON RECIPIENTS UNDER PUBLIC ASSISTANCE PROGRAM SSA-3637

  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) 6,480 6,480 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.
06/16/1989


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