Information Collection

Transmittal 2

IC 182924 under ICR 201101-0970-002 · OMB 0970-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0085 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Transmittal 2 Form and Instruction
1 Tranmittal 2 OMB-0970-0085-T2_Transmittal_2.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Transmittal 2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Tranmittal 2	OMB-0970-0085-T2_Transmittal_2.pdf		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: 54	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	780,732	780,732
Annual IC Time Burden (Hours)	62,459	62,459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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