Information Collection

On-line Data Entry Screens

IC 205938 under ICR 201905-0970-008 · OMB 0970-0435.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0435 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 On-line Data Entry Screens	Form and Instruction
1 EDE Screen Shots EDE_Screens_0970-0435.pdf	Form and Instruction

IC Title:

On-line Data Entry Screens

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 303.7(a)(5)

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 and Instruction	1	EDE Screen Shots	EDE_Screens_0970-0435.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: 38

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	50,464	23,032	27,432
Annual IC Time Burden (Hours)	855	398	457
Annual IC Cost Burden (Dollars)	0	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.