Information Collection

Ofa-100

IC 189465 under ICR 200911-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
OFA-100 instructions -approved- edits track changes 12 2009.doc Instruction
OFA-100 TANF Emergency Fund Request Form OFA-100 form -approved- edits 10-2009_Version_1.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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OFA-100	TANF Emergency Fund Request Form	OFA-100 form -approved- edits 10-2009_Version_1.doc		Yes	Yes	Fillable Printable
Instruction			OFA-100 instructions -approved- edits track changes 12 2009.doc		Yes	Yes	Fillable Printable

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	Previously Approved
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.