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Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs
OMB: 0970-0510
IC ID: 246233
OMB.report
HHS/ACF
OMB 0970-0510
ICR 202103-0970-006
IC 246233
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:
2024-09-26 - No material or nonsubstantive change to a currently approved collection
2024-09-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
224
0
224
0
0
0
Annual IC Time Burden (Hours)
1,120
0
1,120
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.