Information Collection

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

IC 238355 under ICR 202102-0970-011 · OMB 0970-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ACF-696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form
Form ACF-696 CCDF ACF-696 Financial Report for States and Territories Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form
ACF-696 Form Completion Instructions Revised for CRRSA Clean Version.docx	Instruction
ACF-696 Form Completion Instructions Revised for CRRSA Clean Version.docx	Instruction
ACF-696 CCDF ACF-696 Financial Report for States and Territories CCDF 696 Form Revised for CRRSA Clean Version.xlsx	Form
ACF-696 CCDF ACF-696 Financial Report for States and Territories CCDF 696 Form Revised for CRRSA Clean Version.xlsx	Form
mandatory_grant_submission_ACF696doc_Updated Feb 2021.docx Mandatory Grants Financial Reports Generic Submission Form - ACF 696	IC Document
mandatory_grant_submission_ACF696doc_Updated Feb 2021.docx Mandatory Grants Financial Reports Generic Submission Form - ACF 696	IC Document
ACF-696 Revisions NonSub Change Request 7-2-20.docx NonSub Change Memo - ACF 696 Form CARES Act Updates	IC Document
ACF-696 Revisions NonSub Change Request 7-2-20.docx NonSub Change Memo - ACF 696 Form CARES Act Updates	IC Document
ACF-696 CRRSA Revisions NonSub Change Request.docx NonSub Change Memo - ACF 696 Form CRRSA Funds Updates	IC Document
ACF-696 CRRSA Revisions NonSub Change Request.docx NonSub Change Memo - ACF 696 Form CRRSA Funds Updates	IC Document

IC Title:

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	ACF-696	CCDF ACF-696 Financial Report for States and Territories	CCDF 696 Form Revised for CRRSA Clean Version.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF-696 Form Completion Instructions Revised for CRRSA Clean Version.docx		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	224	0	224
Annual IC Time Burden (Hours)	1,344	224	1,120
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mandatory Grants Financial Reports Generic Submission Form - ACF 696	mandatory_grant_submission_ACF696doc_Updated Feb 2021.docx	02/17/2021
NonSub Change Memo - ACF 696 Form CARES Act Updates	ACF-696 Revisions NonSub Change Request 7-2-20.docx	07/02/2020
NonSub Change Memo - ACF 696 Form CRRSA Funds Updates	ACF-696 CRRSA Revisions NonSub Change Request.docx	02/17/2021

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