Information Collection

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

IC 236867 under ICR 201909-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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	Previously Approved
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.