Information Collection

Transmission Layouts on TANF HPB

IC 10074 under ICR 201412-0970-008 · OMB 0970-0230.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Transmission Layouts on TANF HPB	Form
1 State High Performance Bonus Submission Transmission Fil State High Performance Bonus Submission Transmission File Layouts.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 265

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	1	State High Performance Bonus Submission Transmission File Layouts	State High Performance Bonus Submission Transmission File Layouts.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Amended Systems of Record Notice

FR Citation: 69 FR 33644

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-34	84
Annual IC Time Burden (Hours)	600	-408	1,008
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.