Information Collection Request

Child Care Quartely Case-Level Report - ACF-801

ICR 201112-0970-003 · OMB 0970-0167 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ACF-801 Child Care Case-Level Report Form and Instruction Modified Available
RE APHSA and NASCCA's Comments Letter on the ACF 801 Form - December 2011 Revisions .txt Supplementary Document Uploaded 2012-04-09 Available
ACF-801 Supporting Statement for 2011 (Final Version 2 0) 12-2.doc Supporting Statement A Uploaded 2011-12-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9959 Child Care Case-Level Report Form and Instruction Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2015 36 Months From Approved 04/30/2012
224 0 224
5,600 0 4,480
380,800 0 313,600





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table that charts list of burden
IC Title Form No. Form Name
Child Care Case-Level Report ACF-801 Quarterly Case Record Report

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 224 224 0 0 0 0
Annual Time Burden (Hours) 5,600 4,480 0 1,120 0 0
Annual Cost Burden (Dollars) 380,800 313,600 0 67,200 0 0


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