Information Collection

Ocse-100

IC 9796 under ICR 201404-0970-010 · OMB 0970-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OCSE-100 State Plan OCSE-100	Form and Instruction
OCSE-100 State Plan Attachment II OCSE-100 State Plan Preprint Pages.doc	Form and Instruction
Attachment I OCSE-100 TOC.doc Table of Contents	IC Document

IC Title:

OCSE-100

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	OCSE-100				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: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	216	-216	432
Annual IC Time Burden (Hours)	108	-108	216
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Table of Contents		05/03/2011

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

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