Information Collection

General Testimony

IC 182929 under ICR 201608-0970-001 · OMB 0970-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0085 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 General Testimony	Form
General_Testimony_Instructions_final.pdf	Instruction
1 General Testimony General_Testimony_final.pdf	Form
OMB-0970-0085-GI_General_Testimony_Instructions.pdf General Testimony - instructions	IC Document

IC Title:

General Testimony

Agency IC Tracking Number:

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	1	General Testimony	General_Testimony_final.pdf		Yes	Yes	Fillable Printable
Instruction			General_Testimony_Instructions_final.pdf		Yes	Yes	Fillable Fileable

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	349,920	-278,370	628,290
Annual IC Time Burden (Hours)	115,474	-91,862	207,336
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
General Testimony - instructions	OMB-0970-0085-GI_General_Testimony_Instructions.pdf	12/30/2010

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