Information Collection

Case Plan Requirement - Title IV-E of the Social Security Act (Sections 422, 471 and 475)

IC 10176 under ICR 202307-0970-013 · OMB 0970-0428.

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IC Title:

Case Plan Requirement - Title IV-E of the Social Security Act (Sections 422, 471 and 475)

Agency IC Tracking Number:

ACYF

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1356.21(a), (f) and (g)

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	506,858	-56,918	563,776
Annual IC Time Burden (Hours)	2,432,918	-273,207	2,706,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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