Information Collection

ACF State and County Human Services Commissioner Surveys

IC 240262 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACF State Human Services Commissioner_final.docx	Other-Survey
ACF State Human Services Commissioner_final.docx	Other-Survey
ACF County Human Services Commissioner Survey_final.docx	Other-Survey
ACF County Human Services Commissioner Survey_final.docx	Other-Survey
Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020	IC Document
Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020	IC Document

IC Title:

ACF State and County Human Services Commissioner Surveys

Agency IC Tracking Number:

ORO

IC Status: Unchanged

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
Other-Survey			ACF State Human Services Commissioner_final.docx		Yes	Yes	Fillable Fileable
Other-Survey			ACF County Human Services Commissioner Survey_final.docx		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: 125

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	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track GenIC Submission Form - ACF ORO State & County Human Services Commissioner Surveys 2020	Fast Track GenIC Submission Form_0970-0401_ACF ORO state county surveys 2020_FINAL.docx	03/03/2020

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