Information Collection

Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act

IC 10176 under ICR 201010-0980-001 · OMB 0980-0140.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0140 can be found here:

Documents and Forms

Document Name Document Type
State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1356

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 603,453	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	603,453	-35,282	638,735
Annual IC Time Burden (Hours)	2,890,540	774,900	2,115,640
Annual IC Cost Burden (Dollars)	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.