Form CB-496: Title IV-E Programs Quarterly Financial Report

Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Document Name Document Type
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report Form
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report Form
496 Form CB-496: Title IV-E Programs Quarterly Financial Report Form CB-496 FORM - Final Proposed Revision 02.27.20 Clean.xlsx Form
Form CB 496 INSTRUCTIONS - 02.26.20.docx Instruction
CB-496 Mandatory Grant Submission Template 2.27.20.docx NonDiscretionary Financial Form GenIC - Form CB-496 IC Document

Information Collection (IC) Details