Child Care Case-Level Report

ACF-801: Child Care and Development Fund (CCDF) Quarterly Case-Level Report

Documents and Forms

Document Name Document Type
Form ACF-801 Child Care Case-Level Report Form and Instruction
ACF-801 CCDF Quarterly Case Record Report ACF-801 Form and Instructions__30Nov2021.docx Form and Instruction
ACF-801 CCDF Quarterly Case Record Report ACF-801 Form and Instructions__30Nov2021.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Child Care Case-Level Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	ACF-801	CCDF Quarterly Case Record Report	ACF-801 Form and Instructions__30Nov2021.docx		Yes	Yes	Fillable Printable

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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	5,600	5,600
Annual IC Cost Burden (Dollars)	392,000	392,000

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.