Information Collection

On-line Data Entry Screens

IC 205938 under ICR 201603-0970-015 · OMB 0970-0435.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0435 can be found here:

Documents and Forms

Document Name Document Type
Form 1 On-line Data Entry Screens Form and Instruction
1 EDE Screen Shots EDE Screen Shots_slide deck_090315.ppt Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	On-line Data Entry Screens	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 303.7(a)(5)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	EDE Screen Shots	EDE Screen Shots_slide deck_090315.ppt		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: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	27,432	-194,712	222,144
Annual IC Time Burden (Hours)	457	-3,245	3,702
Annual IC Cost Burden (Dollars)	0	0	0

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.