Information Collection

SSP-MOE Data Report - Part 265

IC 183727 under ICR 202412-0970-006 · OMB 0970-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0338 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SSP-MOE Data Report Form - Part 265 SSP-MOE Data Report - Part 265	Form
ACF-199209 TANFSSP data report instructions - valid thru 2026-10_FINAL - Non sub change 3_clean.docx	Instruction
1 SSP-MOE Data Report Form - Part 265 TANF&SSP_Data_Report_layouts - valid thru 2026-10_techfix_CLEAN.xlsx	Form

IC Title:

SSP-MOE Data Report - Part 265

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 265

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	1				Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: OFA Temporary Assistance for Needy Families (TANF) Data System

FR Citation: 85 FR 6591

Number of Respondents: 29

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	82,824	82,824
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.

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