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Title IV-E Prevention Services Plan
Plan for Foster Care and Adoption Assistance—Title IV–E
OMB: 0970-0433
IC ID: 238001
OMB.report
HHS/ACF
OMB 0970-0433
ICR 202507-0970-005
IC 238001
( )
Documents and Forms
Document Name
Document Type
Section B - State Title IVE plan-prevention-services 327.docx
Instruction
Section B - Tribal Title IV-E Agency Plan for prevention services and program 327.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Title IV-E Prevention Services Plan
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Section B - State Title IVE plan-prevention-services 327.docx
Yes
Yes
Fillable Printable
Instruction
Section B - Tribal Title IV-E Agency Plan for prevention services and program 327.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
48
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
16
0
4
0
0
12
Annual IC Time Burden (Hours)
80
0
20
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.