IV-E Foster Care and Adoption Assistance Financial Report

ICR 200103-0970-005

OMB: 0970-0205

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0970-0205 200103-0970-005
Historical Active 199908-0970-001
HHS/ACF
IV-E Foster Care and Adoption Assistance Financial Report
Extension without change of a currently approved collection   No
Regular
Approved without change 05/30/2001
Retrieve Notice of Action (NOA) 03/29/2001
This information collection request is approved consistent with the following terms of clearance: (1) ACF will inform OMB of the results of its consultations with respondents and revise this package to reflect more accurate burden estimates (2) ACF will continue to work toward an electronic submission option for respondents and will revise this package to include this option, once it is available.
  Inventory as of this Action Requested Previously Approved
05/31/2004 05/31/2004 05/31/2001
4 0 4
5,200 0 5,100
0 0 0

This form is used by States and Puerto Rico to facilitate the reporting of expenditures for the Foster Care and Adoption Assistance programs. State agencies (including Puerto Rico) use this form to report data on a quarterly basis. The form provides specific data regarding financial disbursements, obligations and estimates. It provides States with a mechanism to request grant awards and certify the availability of State matching funds. Failure to collect this data would seriously compromise the Administration for Children and Families ability to issue grant awards and monitor expenditures. The form is.....

None
None


No

1
IC Title Form No. Form Name
IV-E Foster Care and Adoption Assistance Financial Report ACF-IV-E-1

  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 4 4 0 0 0 0
Annual Time Burden (Hours) 5,200 5,100 0 0 100 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.
03/29/2001


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