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Federal forms, ICRs, and supporting documents

Information Collection

Ocse-21-u4

IC 182889 under ICR 202412-0970-010 · OMB 0970-0017.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

OCSE-21-U4
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 302.a

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OCSE 21-U4 State Plan Transmittal Form OCSS 21-U4 (State Plan Transmittal Form)_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

54 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 648 0 0 0 0 648
Annual IC Time Burden (Hours) 162 0 0 0 0 162
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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