Information Collection

ACF-118A Part I (for all tribes)

IC 235955 under ICR 202210-0970-004 · OMB 0970-0198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0198 can be found here:

Documents and Forms

Document Name Document Type
Form 1 ACF-118A Part I (for all tribes) Form and Instruction
1 ACF-118A - CCDF Tribal Plan Preprint - Part I 118A Preprint_October22_CLEAN_watermark_FOR OMB_REVISED.docx Form and Instruction
1 ACF-118A - CCDF Tribal Plan Preprint - Part I 118A Preprint_October22_CLEAN_watermark_FOR OMB_REVISED.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ACF-118A Part I (for all tribes)	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	1	ACF-118A - CCDF Tribal Plan Preprint - Part I	118A Preprint_October22_CLEAN_watermark_FOR OMB_REVISED.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: 265	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	88	88
Annual IC Time Burden (Hours)	10,600	10,600
Annual IC Cost Burden (Dollars)	0	0

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.