Information Collection

CFS-101, Parts I, II, and III

IC 184244 under ICR 201710-0970-006 · OMB 0970-0426.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0426 can be found here:

Documents and Forms

Document Name Document Type
Form CFS-101, Part 1, S CFS-101, Parts I, II, and III Form and Instruction
CFS-101, Part 1, S CFS-101, Part 1: Annual Budget Request for Title IV-B, S CFS-101s Instructions and Forms.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CFS-101, Parts I, II, and III	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1357.15

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CFS-101, Part 1, Subpart 1&2	CFS-101, Part 1: Annual Budget Request for Title IV-B, Subpart 1 &2 Funds, CAPTA, CFCIP, and ETV Instructions	CFS-101s Instructions and Forms.pdf		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 242	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	242	10	232
Annual IC Time Burden (Hours)	1,210	194	1,016
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.