Information Collection

Case Plan Requirements, Section 422(b); 471(a)(16), 475(5) and 475(6) of the Social Security Act (SSA); 45 CFR 1356.21(f)(g)

IC 10175 under ICR 200105-0980-001 · OMB 0980-0140.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0140 can be found here:

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Information Collection (IC) Details

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IC Title:	Case Plan Requirements, Section 422(b); 471(a)(16), 475(5) and 475(6) of the Social Security Act (SSA); 45 CFR 1356.21(f)(g)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 714,056	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 49 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	714,056	714,056
Annual IC Time Burden (Hours)	1,872,392	1,872,392
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.