OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Title IV-E Prevention Services Clearinghouse

IC 263905 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms
Document Name
Document Type
Other-Consultation Discussion Guide
Other-Consultation Discussion Guide
Other-Consultation Feedback Form
Other-Consultation Feedback Form
Other-Program Description Review Req
Other-Program Description Review Req
Other-Manual Request
Other-Manual Request
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Title IV-E Prevention Services Clearinghouse
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consultation Discussion Guide Instrument 1_Consultation Discussion Guide.docx Yes Yes Printable Only
Other-Consultation Feedback Form Instrument 2_Consultation Feedback Form.docx Yes Yes Printable Only
Other-Program Description Review Request Instrument 3_Program Description Review Request.docx Yes Yes Printable Only
Other-Manual Request Instrument 4_ManualRequest.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

215 0
   
Individuals or Households
 
   100 %

  Requested 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 71 0 0 0 0 71
Annual IC Time Burden (Hours) 88 0 0 0 0 88
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Title IV-E Prevention Services Clearinghouse PSC OMB Part A.docx 12/13/2023
SSB - Title IV-E Prevention Services Clearinghouse PSC OMB Part B.docx 12/13/2023
NOA - Title IV-E Prevention Services Clearinghouse NOA_Title IV-E Prev Srvcs Clrnghs GenIC_Formative Generic Research_0970-0356_1.5.22.pdf 12/13/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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