Information Collection

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

IC 238355 under ICR 201802-0970-012 · OMB 0970-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACF-696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form
Draft ACF 696 Instructions.2019.Clean Version.docx	Instruction
ACF-696 CCDF ACF-696 Financial Report for States and Territories Draft ACF 696 Form.2019.Clean Version.docx	Form
mandatory_grant_submission_ACF696doc_Updated.doc Mandatory Grants Financial Reports Generic Submission Form - ACF 696	IC Document

IC Title:

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

Agency IC Tracking Number:

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
Form	ACF-696	CCDF ACF-696 Financial Report for States and Territories	Draft ACF 696 Form.2019.Clean Version.docx		Yes	Yes	Fillable Fileable
Instruction			Draft ACF 696 Instructions.2019.Clean Version.docx		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	1,120	1,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mandatory Grants Financial Reports Generic Submission Form - ACF 696	mandatory_grant_submission_ACF696doc_Updated.doc	10/31/2019

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