Information Collection

State Data File

IC 184087 under ICR 202203-0970-004 · OMB 0970-0340.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0340 can be found here:

Documents and Forms

Document Name Document Type
NYTD Data Elements.pdf Instruction
NYTD Data Elements.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Data File	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1356.8

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NYTD Data Elements.pdf		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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	104	-2	106
Annual IC Time Burden (Hours)	127,296	-24,284	151,580
Annual IC Cost Burden (Dollars)	0	-6,625,000	6,625,000

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.