Information Collection

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

IC 246233 under ICR 202103-0970-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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 CCDF 696 Form Revised for CRRSA Clean Version.xlsx	Form
ACF-696 CCDF ACF-696 Financial Report 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 CRRSA Revisions NonSub Change Request.docx NonSub Change Req - CRRSA Revisions	IC Document
ACF-696 CRRSA Revisions NonSub Change Request.docx NonSub Change Req - CRRSA Revisions	IC Document
ACF-696 Revisions NonSub Change Request 7-2-20.docx NonSub Change Req - CARES Act Revisions	IC Document
ACF-696 Revisions NonSub Change Request 7-2-20.docx NonSub Change Req - CARES Act Revisions	IC Document
NOA_ACF-696 and ACF-696T GenICs_NonSub Change CRRSA_2.19.21.pdf NOA - ACF-696	IC Document
NOA_ACF-696 and ACF-696T GenICs_NonSub Change CRRSA_2.19.21.pdf NOA - ACF-696	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: New

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	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	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	224	224
Annual IC Time Burden (Hours)	1,120	1,120
Annual IC Cost Burden (Dollars)	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	03/12/2021
NonSub Change Req - CRRSA Revisions	ACF-696 CRRSA Revisions NonSub Change Request.docx	03/12/2021
NonSub Change Req - CARES Act Revisions	ACF-696 Revisions NonSub Change Request 7-2-20.docx	03/12/2021
NOA - ACF-696	NOA_ACF-696 and ACF-696T GenICs_NonSub Change CRRSA_2.19.21.pdf	03/12/2021

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