Information Collection

Data File

IC 184087 under ICR 201811-0970-008 · OMB 0970-0340.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0340 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NYTD Technical Bulletin 5-070212.pdf	Instruction
nytd_attachment 1_Technical Bulletin 1.pdf	Instruction

IC Title:

Data File

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 1356.8

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			NYTD Technical Bulletin 5-070212.pdf		Yes	Yes	Fillable Printable
Instruction			nytd_attachment 1_Technical Bulletin 1.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: 53

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	Previously Approved
Annual Number of Responses for this IC	106	2	104
Annual IC Time Burden (Hours)	151,580	9,308	142,272
Annual IC Cost Burden (Dollars)	6,625,000	125,000	6,500,000

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.