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Insurance Match File: Daily Reporting Manually
Information Comparision with Insurance Data
OMB: 0970-0342
IC ID: 228579
OMB.report
HHS/ACF
OMB 0970-0342
ICR 202311-0970-003
IC 228579
( )
Documents and Forms
Document Name
Document Type
IM DI Portal Screens_Manual_Reporting_102023.pdf
Other-Daily Reporting Manual Submiss
IM DI Portal Screens_Manual_Reporting_102023.pdf
Other-Daily Reporting Manual Submiss
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Insurance Match File: Daily Reporting Manually
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Daily Reporting Manual Submission
IM DI Portal Screens_Manual_Reporting_102023.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
OCSE Debtor File
FR Citation:
83 FR 6591
Number of Respondents:
118
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
29,618
0
2,510
0
0
27,108
Annual IC Time Burden (Hours)
2,962
0
251
0
0
2,711
Annual IC Cost Burden (Dollars)
0
0
0
0
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.