Information Collection

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

IC 267379 under ICR 202409-0970-011 · OMB 0970-0510.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 696 Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Form
696 form instructions non-substantive change_clean.docx	Instruction
696 form instructions non-substantive change_clean.docx	Instruction
696 Child Care and Development Fund (CCDF) ACF-696 Financial Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx	Form
696 Child Care and Development Fund (CCDF) ACF-696 Financial Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx	Form
mandatory_grant_submission_ACF696_4.5.24.docx Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories	IC Document
mandatory_grant_submission_ACF696_4.5.24.docx Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories	IC Document
Change Request (696 & 696T non-substantive change)_fnl.docx NonSub Change - 696 & 696T updates	IC Document
Change Request (696 & 696T non-substantive change)_fnl.docx NonSub Change - 696 & 696T updates	IC Document

IC Title:

Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories

Agency IC Tracking Number:

OCC

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	696	Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories	Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx		Yes	Yes	Fillable Fileable
Instruction			696 form instructions non-substantive change_clean.docx		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: 56

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	224	224
Annual IC Time Burden (Hours)	1,344	1,344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories	mandatory_grant_submission_ACF696_4.5.24.docx	05/01/2024
NonSub Change - 696 & 696T updates	Change Request (696 & 696T non-substantive change)_fnl.docx	08/22/2024

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