Information Collection

SSP-MOE Data Report

IC 183727 under ICR 201406-0970-001 · OMB 0970-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SSP-MOE Data Report	Form
1 MOE Report 1 sspmoerpt1.xls	Form
2 MOE Report 2 ssprpt2f.pdf	Form
3 MOE Report 3 ssprpt3f.pdf	Form
4 MOE Report 4 ssprpt4frev.pdf	Form
SSP-MOE Instruction1.pdf MOE 1 Inst.	IC Document
SSP-MOE Instruction2.pdf SSP-MOE Instruction2	IC Document
SSP-MOE Instruction3.pdf SSP-MOE Instruction3	IC Document
SSP-MOE Instruction4.pdf SSP-MOE Instruction4	IC Document

IC Title:

SSP-MOE Data Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	MOE Report 1	sspmoerpt1.xls	Yes	Yes	Fillable Printable
Form	2	MOE Report 2	ssprpt2f.pdf	Yes	Yes	Fillable Printable
Form	3	MOE Report 3	ssprpt3f.pdf	Yes	Yes	Fillable Printable
Form	4	MOE Report 4	ssprpt4frev.pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 29

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	Previously Approved
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	82,824	82,824
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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