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Work Verification Plan
TANF Data Reporting for Work Participation
OMB: 0970-0338
IC ID: 183724
OMB.report
HHS/ACF
OMB 0970-0338
ICR 202008-0970-018
IC 183724
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:
2023-12-14 - No material or nonsubstantive change to a currently approved collection
2023-09-19 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Work Verification Plan
Form and Instruction
1 Work Verification Plan Guidance
TAB C - Work_Verification_Plan_Guidance.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Work Verification Plan
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 261.60 - 261.63
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Work Verification Plan Guidance
TAB C - Work_Verification_Plan_Guidance.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
54
0
0
0
0
54
Annual IC Time Burden (Hours)
34,560
0
0
0
0
34,560
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.