Information Collection

Generic Information Collection for Qualitative and Descriptive Quantitative Data Collection for a First TANF Site

IC 236867 under ICR 201907-0970-002 · OMB 0970-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0502 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A Staff Interviews Monroe County_CLEAN_10.23.docx	Other-null
Appendix B Client Interviews Monroe County_CLEAN_10.23.docx	Other-null
Appendix C Staff Survey Monroe County_CLEAN_10.23.docx	Other-null
BIAS-NG Generic SSA_ Monroe County_CLEAN_10.23.docx BIAS-NG Generic SSA_ Monroe County	IC Document
BIAS-NG Generic SSB_Monroe_CLEAN_10.23.docx BIAS-NG Generic SSB_ Monroe County	IC Document
BIAS NG - NOA - Monroe County IC_11.28.18.pdf NOA - BIAS-NG Generic_ Monroe County	IC Document

IC Title:

Generic Information Collection for Qualitative and Descriptive Quantitative Data Collection for a First TANF Site

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-null	Appendix A Staff Interviews Monroe County_CLEAN_10.23.docx	No	Paper Only
Other-null	Appendix B Client Interviews Monroe County_CLEAN_10.23.docx	No	Paper Only
Other-null	Appendix C Staff Survey Monroe County_CLEAN_10.23.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BIAS-NG Generic SSA_ Monroe County	BIAS-NG Generic SSA_ Monroe County_CLEAN_10.23.docx	07/11/2019
BIAS-NG Generic SSB_ Monroe County	BIAS-NG Generic SSB_Monroe_CLEAN_10.23.docx	07/11/2019
NOA - BIAS-NG Generic_ Monroe County	BIAS NG - NOA - Monroe County IC_11.28.18.pdf	07/11/2019

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