Information Collection

Data Transfer

IC 194705 under ICR 201009-0970-006 · OMB 0970-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0123 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Data Transfer	Form and Instruction
1 Turnaway and Wait List TLP Turnaway and Waitlist.doc	Form and Instruction

IC Title:

Data Transfer

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	1	Turnaway and Wait List	TLP Turnaway and Waitlist.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: 731

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,462	1,462
Annual IC Time Burden (Hours)	731	731
Annual IC Cost Burden (Dollars)	18,275	18,275

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.