Information Collection

CCDF Plan Preprint for States/Territories 2016-2018

IC 206080 under ICR 201502-0970-005 · OMB 0970-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 FY2016-2018 Plan Preprint CCDF Plan Preprint for States/Territories 2016-2018	Form and Instruction
1 FY2016-2018 Plan Preprint FY2016-2018 CCDF Plan Preprint - 0970-0114.docx	Form and Instruction

IC Title:

CCDF Plan Preprint for States/Territories 2016-2018

Agency IC Tracking Number:

OCC

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	1				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: 56

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
	Requested	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	4,550	4,550
Annual IC Cost Burden (Dollars)	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.

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