Information Collection

OLDC Sytem-Maintenance

IC 188632 under ICR 200904-0970-001 · OMB 0970-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0248 can be found here:

Documents and Forms

Document Name Document Type
Request for Online Data Collection.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OLDC Sytem-Maintenance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 265

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Request for Online Data Collection.doc		Yes	Yes	Fillable Fileable Signable

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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.