Information Collection

SSP-MOE Data Report

IC 183727 under ICR 200805-0970-005 · OMB 0970-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:

Documents and Forms

IC Title:

SSP-MOE Data Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-other	ssprpt3f.pdf	No	No	Paper Only
Other-other	sspmoerpt1.xls	No	No	Paper Only
Other-other	ssprpt2f.pdf	No	No	Paper Only
Other-other	ssprpt4frev.pdf	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: 29

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	Program Change Due to New Statute
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	82,824	82,824
Annual IC Cost Burden (Dollars)	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.