Information Collection

Letter of Transmittal Requesting Registration

IC 222795 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⚠️ Notice: This information collection may be referencing outdated material.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 Letter of Transmittal Requesting Registration	Form and Instruction
Form 1 Letter of Transmittal Requesting Registration Letter of Transmittal Requesting Registration	Form and Instruction
Form 1 Letter of Transmittal Requesting Registration Form and instructions - Spanish Letter of Transmittal Requesting Registration	Form and Instruction
1 Letter of Transmittal Requesting Registration Letter of Transmittal Requesting Registration 2019 Final 12112019.docx	Form and Instruction
1 Letter of Transmittal Requesting Registration Letter of Transmittal Requesting Registration 2019 Final 12112019.docx	Form and Instruction
1 Letter of Transmittal Requesting Registration Form and i OMB 0970-0085 Letter of Transmittal Requesting Registration Form and Instr._Final.pdf	Form and Instruction
1 Letter of Transmittal Requesting Registration Form and i OMB 0970-0085 Letter of Transmittal Requesting Registration Form and Instr._Final.pdf	Form and Instruction

IC Title:

Letter of Transmittal Requesting Registration

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Letter of Transmittal Requesting Registration	Letter of Transmittal Requesting Registration 2019 Final 12112019.docx		Yes	Yes	Fillable Printable
Form and Instruction	1	Letter of Transmittal Requesting Registration Form and instructions - Spanish	OMB 0970-0085 Letter of Transmittal Requesting Registration Form and Instr._Final.pdf		Yes	Yes	Fillable Printable

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	519,966	519,966
Annual IC Time Burden (Hours)	41,597	41,597
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.