State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act

ICR 200510-0980-002

OMB: 0980-0141

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
0980-0141 200510-0980-002
Historical Active 200208-0980-001
HHS/HDSO
State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act
Extension without change of a currently approved collection   No
Regular
Approved without change 11/29/2005
Retrieve Notice of Action (NOA) 10/26/2005
  Inventory as of this Action Requested Previously Approved
11/30/2008 11/30/2008 11/30/2005
12 0 12
180 0 180
0 0 0

A State plan is required by sections 471 and 477(b)(2), part IV-E of the Social Security Act for each public child welfare agency claiming Federal funding for foster care and independent living services and adoption assistance. The State plan is a comprehensive description of the nature and scope of the State's program and provides assurance the program will be administered in conformity with the specific requirements stipulated in title IV-E.

None
None


No

1
IC Title Form No. Form Name
State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act

  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 12 12 0 0 0 0
Annual Time Burden (Hours) 180 180 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.
10/26/2005


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