Information Collection

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

IC 10176 under ICR 201112-0980-001 · OMB 0980-0140.

Documents and Forms

Document Name Document Type
Form 1 Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act Form and Instruction
1 AFCARS State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc Form and 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
Form and Instruction	1	AFCARS	State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 604,453	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	604,453	1,000	603,453
Annual IC Time Burden (Hours)	3,022,265	131,725	2,890,540
Annual IC Cost Burden (Dollars)	43,520,616	43,520,616	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.