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State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act
State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act
OMB: 0980-0141
IC ID: 10180
OMB.report
HHS/HDSO
OMB 0980-0141
ICR 200908-0980-001
IC 10180
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0141 can be found here:
2012-10-18 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act
Form and Instruction
1 IV-E Pre Print
Draft title IV-E plan pre-print 3 23 09.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 1356
45 CFR 1355
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
IV-E Pre Print
Draft title IV-E plan pre-print 3 23 09.pdf
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
33
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
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
33
20
0
0
0
13
Annual IC Time Burden (Hours)
528
333
0
0
0
195
Annual IC Cost Burden (Dollars)
0
0
0
0
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.