Information Collection

Individual and Family Grant (IFG) and the Individuals and Households Program-Other Needs Assistance (IHP-ONA)

IC 43972 under ICR 200607-1660-002 · OMB 1660-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Individual and Family Grant (IFG) and the Individuals and Households Program-Other Needs Assistance (IHP-ONA)

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	76-27	Yes	Yes
Form	76-34	Yes	Yes
Form	76-28	Yes	Yes
Form	76-38	Yes	Yes
Form	76-32	Yes	Yes
Form	76-29	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,202	-6,160	0	7,362
Annual IC Time Burden (Hours)	301	-513	0	814
Annual IC Cost Burden (Dollars)	0	0	-15,000	15,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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