Information Collection

Ocse-100

IC 9796 under ICR 200805-0970-007 · OMB 0970-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Fee Preprint Page Draft January11 2007.doc	Other-Other
Simplified Distribution Pre-Print Preprint Page January 12 2007.doc Simplified Distribution Pre-Print Preprint Page January 12 2007	IC Document

IC Title:

OCSE-100

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-Other			Annual Fee Preprint Page Draft January11 2007.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: 54

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	432	378	0	54
Annual IC Time Burden (Hours)	216	81	0	135
Annual IC Cost Burden (Dollars)	0	0	-163	163

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Simplified Distribution Pre-Print Preprint Page January 12 2007	Simplified Distribution Pre-Print Preprint Page January 12 2007.doc	01/17/2007

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