Information Collection

Ocse-100

IC 9796 under ICR 202412-0970-010 · OMB 0970-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OCSE-100 OCSE-100	Form and Instruction
OCSE-100 State Plan Cover Page OCSS-100 State Plan Cover Page - CLEAN.docx	Form and Instruction
OCSE-100 State Plan Cover Page OCSS-100 State Plan Cover Page - CLEAN.docx	Form and Instruction
1 State Plan OCSS_State_Plan_Table_of_Contents_CLEAN.docx	Form and Instruction
1 State Plan OCSS_State_Plan_Table_of_Contents_CLEAN.docx	Form and Instruction

IC Title:

OCSE-100

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	OCSE-100	State Plan Cover Page	OCSS-100 State Plan Cover Page - CLEAN.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1	State Plan	OCSS_State_Plan_Table_of_Contents_CLEAN.docx		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: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	648	648
Annual IC Time Burden (Hours)	324	324
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.