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pdfNOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date
02/19/2021
Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:
Perryn Ashmore
FOR CLEARANCE OFFICER:
Terry Clark
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
02/17/2021
ACTION REQUESTED:
No material or nonsubstantive change to a currently approved collection
IC TITLE:
ICR REFERENCE NUMBER:
202102-0970-011
AGENCY ICR TRACKING NUMBER:
TITLE:
Generic Clearance for Financial Reports
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:
0970-0510
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 05/31/2021
BURDEN:
DISCONTINUE DATE:
RESPONSES
HOURS
COSTS
Previous
1,000
40,000
0
New
1,000
40,000
0
Change due to New Statute
0
0
0
Change due to Agency Discretion
0
0
0
Change due to Agency Adjustment
0
0
0
Change due to PRA Violation
0
0
0
Difference
TERMS OF CLEARANCE:
Terms of the previous clearance remain in effect.
OMB Authorizing Official:
Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs
IC Title
Form No.
List of ICs
Form Name
CFR Citation
Child Support
34, 396
OCSE-34, OCSE-396
Engorcement Program
Financial Reporting
Forms
CB-496 - Title IV-E
CB-496
CB Financial Report
Programs Quarterly
Financial Report
Child Care and
ACF-696
CCDF ACF-696 Financial
Development Fund
Report for States and
(CCDF) ACF-696
Territories
Financial Report for
States and Territories
Child Care and
ACF-696T
CCDF ACF-696T
Development Fund
Financial Report for Tribal
(CCDF) ACF-696T
Grantees
Financial Report for
Tribal Grantees
Total Hours Actually Used for Information Collections Under Currently Approved ICR:
Hrs/$/Resp
7,680 / 0 / 672
6,700 / 0 / 268
1,344 / 0 / 224
1,547 / 0 / 221
17,271
File Type | application/pdf |
File Modified | 2021-02-19 |
File Created | 2021-02-19 |