Information Collection

Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period

IC 267864 under ICR 202409-0970-007 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.pdf	Other-Survey
Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.pdf	Other-Survey
SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Perio	IC Document
SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Perio	IC Document

IC Title:

Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period

Agency IC Tracking Number:

OFA

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Survey			Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.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: 21

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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period	SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx	05/22/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.