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Form CB-496: Title IV-E Programs Quarterly Financial Report

IC 267382 under ICR 202509-0970-002 · OMB 0970-0510.

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Form CB-496: Title IV-E Programs Quarterly Financial Report CB
 
Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 496 Form CB-496: Title IV-E Programs Quarterly Financial Report CB-496-Form Sept 19 2024.xlsx Yes Yes Fillable Fileable
Instruction Form CB 496 INSTRUCTIONS_ Sept 19 2024.docx Yes Yes Printable Only

Community and Social Services Social Services

 

67 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 268 0 0 0 0 268
Annual IC Time Burden (Hours) 6,154 0 0 0 0 6,154
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NonDiscretionary Financial Form GenIC - Form CB-496 NonDisc Grant GenIC Submission Form - CB-496 Sept 2024_fnl.docx 09/23/2024
14-Day FRN - Comment period of changes Sept 2024 14 Day FRN_CB-496 Change Req_Financial Forms GenIC_0970-0510_8.28.24.pdf 09/23/2024
Change Request Memo - CB-496, Sept 2024 Change Memo – CB-496 September 2024 Updates.docx 09/23/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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