Information Collection

General Testimony

IC 182929 under ICR 202311-0970-009 · OMB 0970-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0085 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 General Testimony	Form
General Testimony Instructions 2019 Final 12112019.docx	Instruction
General Testimony Instructions 2019 Final 12112019.docx	Instruction
OMB 0970-0085 General Testimony Instructions -Final Translation.pdf	Instruction
OMB 0970-0085 General Testimony Instructions -Final Translation.pdf	Instruction
1 General Testimony General Testimony 2019 Final 12112019.docx	Form
1 General Testimony General Testimony 2019 Final 12112019.docx	Form
1 General Testimony - Spanish OMB 0970-0085 General Testimony-Final Translation.pdf	Form
1 General Testimony - Spanish OMB 0970-0085 General Testimony-Final Translation.pdf	Form

IC Title:

General Testimony

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 303.7(a)(4)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	General Testimony	General Testimony 2019 Final 12112019.docx	Yes	Yes	Fillable Printable
Instruction			General Testimony Instructions 2019 Final 12112019.docx	Yes	Yes	Fillable Fileable
Form	1	General Testimony - Spanish	OMB 0970-0085 General Testimony-Final Translation.pdf	Yes	Yes	Fillable Fileable
Instruction			OMB 0970-0085 General Testimony Instructions -Final Translation.pdf	Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

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	Previously Approved
Annual Number of Responses for this IC	346,626	346,626
Annual IC Time Burden (Hours)	114,387	114,387
Annual IC Cost Burden (Dollars)	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.