Information Collection

Acf-196t

IC 224008 under ICR 201610-0970-011 · OMB 0970-0195.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0195 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instructions Form 696T SEPT 2016.docx	Instruction
ACF-696T Financial Report FR2 Form ACF-696T.doc	Form

IC Title:

ACF-196T

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Instruction			Instructions Form 696T SEPT 2016.docx		Yes	Yes	Fillable Printable
Form	ACF-696T	Financial Report	FR2 Form ACF-696T.doc		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: 272

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	272	272
Annual IC Time Burden (Hours)	1,904	1,904
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.