Information Collection

Form OCSE-34A, "Quarterly Report of Collections"

IC 43721 under ICR 201011-0970-005 · OMB 0970-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0181 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OCSE-34A Form OCSE-34A, "Quarterly Report of Collections"	Form
OCSE-34A Quarterly Financial Report Form OCSE34A - DRAFT 2007.pdf	Form
Instructions, OCSE34A, DRAFT 2007 v. 2.0.doc Instructions, OCSE34A, DRAFT 2007 v	IC Document

IC Title:

Form OCSE-34A, "Quarterly Report of Collections"

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 300

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	OCSE-34A	Quarterly Financial Report	Form OCSE34A - DRAFT 2007.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	216	0	216
Annual IC Time Burden (Hours)	3,024	0	3,024
Annual IC Cost Burden (Dollars)	0	-56,160	56,160

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions, OCSE34A, DRAFT 2007 v	Instructions, OCSE34A, DRAFT 2007 v. 2.0.doc	09/13/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.