Information Collection

Discussion Guide for use with Tribal TANF Participants Focus Group

IC 201554 under ICR 201203-0970-002 · OMB 0970-0411.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 6 4_Tribal TANF Recipient Discussion Guide -10-1-12.doc	Other-Discussion Guide
Appendix 6 5_TANF participant form - 10-1-12.doc Appendix 6 5_TANF participant form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Discussion Guide			Appendix 6 4_Tribal TANF Recipient Discussion Guide -10-1-12.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: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix 6 5_TANF participant form	Appendix 6 5_TANF participant form - 10-1-12.doc	10/02/2012

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