Information Collection

State Plan for Foster Care and Adoption Assistance: Title IV-E of the Social Security Act

IC 10180 under ICR 200908-0980-001 · OMB 0980-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	33	20	13
Annual IC Time Burden (Hours)	528	333	195
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.