Information Collection

State IV-D Ageny: Manual Entry of Couirt Provided Case Information

IC 211789 under ICR 201406-0970-002 · OMB 0970-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0421 can be found here:

Documents and Forms

Document Name Document Type
Form 1 State IV-D Ageny: Manual Entry of Couirt Provided Case Information Form and Instruction
1 input transaction 0970-0421_FCR App G Input Transactions.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State IV-D Ageny: Manual Entry of Couirt Provided Case Information	Agency IC Tracking Number:	ocse

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	input transaction	0970-0421_FCR App G Input Transactions.doc		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: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	769,662	769,662
Annual IC Time Burden (Hours)	25,655	25,655
Annual IC Cost Burden (Dollars)	3,362,450	3,362,450

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.