Information Collection

TANF Emergency Fund Subsidized Employment Report, Form OFA 200

IC 193333 under ICR 201006-0970-004 · OMB 0970-0378.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0378 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OFA-200 TANF Emergency Fund Subsidized Employment Report, Form OFA 200	Form and Instruction
OFA-200 TANF Emergency Fund Subsidized Employment Report Emergency Fund Subsidized Employment Data Collection 052510.xls	Form and Instruction

IC Title:

TANF Emergency Fund Subsidized Employment Report, Form OFA 200

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:

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	OFA-200	TANF Emergency Fund Subsidized Employment Report	Emergency Fund Subsidized Employment Data Collection 052510.xls		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 74

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
Annual Number of Responses for this IC	148	148
Annual IC Time Burden (Hours)	3,552	3,552
Annual IC Cost Burden (Dollars)	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.