Information Collection

Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period

IC 267864 under ICR 202508-0970-003 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Wilson Fish TANF Coordination Program Lookback Survey 5.22.24.pdf	Other-Survey
SSA Template - Formative for ACF Program Support_Draft WF TCP Lookback Survey_5.21.24.docx Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Perio	IC Document

IC Title:

Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period

Agency IC Tracking Number:

OFA

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Survey					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: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Program Support GenIC - Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period		05/22/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].