Information Collection

System Certification

IC 211848 under ICR 202401-0970-020 · OMB 0970-0417.

Documents and Forms

Document Name Document Type
State Systems APD Guide 2010_Final.pdf Other-State Systems APD Guide
State Systems APD Guide 2010_Final.pdf Other-State Systems APD Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	System Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 96

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-State Systems APD Guide			State Systems APD Guide 2010_Final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	720	720
Annual IC Cost Burden (Dollars)	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.