Information Collection

Form OCSE-34A, "Quarterly Report of Collections"

IC 43721 under ICR 201707-0970-006 · OMB 0970-0181.

Documents and Forms

Document Name Document Type
Form 34 Form OCSE-34A, "Quarterly Report of Collections" Form
Instructions - Form OCSE-34 May 2017.pdf Instruction
34 OCSE-34 Form OCSE-34 DRAFT May 2017.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form OCSE-34A, "Quarterly Report of Collections"	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 300

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	34	OCSE-34	Form OCSE-34 DRAFT May 2017.pdf		Yes	Yes	Fillable Printable
Instruction			Instructions - Form OCSE-34 May 2017.pdf		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: 114	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	456	456
Annual IC Time Burden (Hours)	6,384	6,384
Annual IC Cost Burden (Dollars)	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.