Information Collection

45 CFR 309 Plan

IC 10056 under ICR 200705-0970-005 · OMB 0970-0218.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0218 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OCSE-AT-04-01.doc	Other-AT

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 309

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-AT			OCSE-AT-04-01.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33	-117	150
Annual IC Time Burden (Hours)	15,840	-30,622	46,462
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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