Child & Family Services Plan (CFSP). Annual Progress & Services Report (APSR), & Annual Budget Expenses Request & Estimated Expenditures (CFS-101)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Part III	Form	Unchanged	Repair queued
Form 1 Part I	Form	Unchanged	Available
Form CFS-101 Annual Budget Expenses Request and Est. Expenditures	Form	Unchanged	Available
Form 1 Part II	Form	Unchanged	Available
2014 Supporting Statement 0970-0426 5 5 2014.doc	Supporting Statement A	Uploaded 2014-05-05	Available
0980-0047 Part B - Supporting Statement.doc	Supporting Statement B	Uploaded 2011-10-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184245	Caseworker Visit Data		Unchanged
184244	CFS-101, Parts I, II, and III	Instruction	Unchanged
184244	CFS-101, Parts I, II, and III	Form	Unchanged	Part III
184244	CFS-101, Parts I, II, and III	Form	Unchanged	Part I
184244	CFS-101, Parts I, II, and III	Form	Unchanged	Annual Budget Expenses Request and Est. Expenditures
184244	CFS-101, Parts I, II, and III	Form	Unchanged	Part II
184243	Annual Progress and Services Report		Unchanged
184242	Child and Family Services Plan		Modified

ICR Details

OMB Control No: 0970-0426	ICR Reference No: 201404-0970-005
Status: Historical Active	Previous ICR Reference No: 201301-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Child & Family Services Plan (CFSP). Annual Progress & Services Report (APSR), & Annual Budget Expenses Request & Estimated Expenditures (CFS-101)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/07/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	10/31/2014
Responses	562	0	562
Time Burden (Hours)	29,527	0	29,527
Cost Burden (Dollars)	0	0	0

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Abstract: Under title IV-B, subparts 1 & 2 of the Social Security Act, States/Tribes submit to the Dept a 5 year plan, or its annual update, and an annual budget request and estimated expenditure report. The plan is used by States/Tribes to develop and implement services and describe efforts with other federal, state and local programs. The update reports on activities, accomplishments and adjustments in the plan. The budget request is submitted annually with the plan or its update to apply for appropriated funds for the next fiscal year.

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Authorizing Statute(s): PL: Pub.L. 109 - 288 2 Name of Law: Child and Family Services
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 351 28 Name of Law: Fostering Connections to Succes

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 73196	12/05/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 22143	04/21/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Annual Progress and Services Report
CFS-101, Parts I, II, and III	1, CFS-101, 1, 1	Part II ,   Annual Budget Expenses Request and Est. Expenditures ,   Part I ,   Part III
Caseworker Visit Data
Child and Family Services Plan

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ICR Summary of Burden

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	562	562	0	0	0	0
Annual Time Burden (Hours)	29,527	29,527	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/07/2014

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