Information Collection

Local ATCS

IC 236439 under ICR 202004-1121-001 · OMB 1121-0372.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Local ATCS	Form and Instruction
Local ATCS 2020 Statewide_Coordinators_Survey.docx	Form and Instruction

IC Title:

Local ATCS

Agency IC Tracking Number:

BJA

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	none	Local ATCS	2020 Statewide_Coordinators_Survey.docx	TBD	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,172

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
Annual Number of Responses for this IC	4,172	4,172
Annual IC Time Burden (Hours)	2,434	2,434
Annual IC Cost Burden (Dollars)	64,499	64,499

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.