Information Collection

Ofa-100

IC 189465 under ICR 200906-0970-001 · OMB 0970-0366.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0366 can be found here:

Documents and Forms

Document Name Document Type
Form OFA-100 OFA-100 Form
EF request instruct 6 04 09.doc Instruction
OMB Questions on Form OFA-100 (3).doc Instruction
OFA-100 TANF Emergency Fund Request Form EF form - OFA-100 05-08.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OFA-100	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OFA-100	TANF Emergency Fund Request Form	EF form - OFA-100 05-08.doc	Yes	Yes	Paper Only
Instruction			EF request instruct 6 04 09.doc	Yes	No	Paper Only
Instruction			OMB Questions on Form OFA-100 (3).doc	Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 93	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 New Statute
Annual Number of Responses for this IC	465	465
Annual IC Time Burden (Hours)	11,160	11,160
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.