Information Collection

Appendix G: Input Record Layout

IC 227876 under ICR 202310-0970-007 · OMB 0970-0421.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FCR_Appendix_G_Input_Transactions_Layout_clean.docx	Other-file format
FCR_Appendix_G_Input_Transactions_Layout_clean.docx	Other-file format

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-file format			FCR_Appendix_G_Input_Transactions_Layout_clean.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Federal Case Registry

FR Citation: 87 FR 56055

Number of Respondents: 54

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21,924	13,770	8,154
Annual IC Time Burden (Hours)	730	458	272
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.