Information Collection

IV-E Foster Care and Adoption Assistance Financial Report

IC 10037 under ICR 200902-0970-004 · OMB 0970-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0205 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 IV-E Foster Care and Adoption Assistance Financial Report	Form
1 Title IV-E Foster Care and Adoption Assistance Financial Form ACF-IV-E-1 02-2009.xls	Form
Instructions - Form ACF-IV-E-1 2-2009.doc Instructions	IC Document

IC Title:

IV-E Foster Care and Adoption Assistance Financial Report

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
Form	1	Title IV-E Foster Care and Adoption Assistance Financial Report	Form ACF-IV-E-1 02-2009.xls		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208	204	4
Annual IC Time Burden (Hours)	3,328	-208	3,536
Annual IC Cost Burden (Dollars)	66,560	66,560	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions	Instructions - Form ACF-IV-E-1 2-2009.doc	02/09/2009

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