Information Collection

Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act

IC 10176 under ICR 201412-0970-006 · OMB 0970-0428.

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IC Title:

Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act

Agency IC Tracking Number:

ACYF

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1356

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

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 512,515

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	512,515	-91,938	604,453
Annual IC Time Burden (Hours)	2,460,072	-562,193	3,022,265
Annual IC Cost Burden (Dollars)	0	-43,520,616	43,520,616

Documents for IC

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

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