Information Collection

Client Service Costs

IC 239405 under ICR 202509-0970-011 · OMB 0970-0542.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7 Client Service Costs	Form
Form 7 Client Service Costs Client Service Costs	Form
Form 7b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Client Service Costs	Form and Instruction
FY25 DVHT Reporting Reference Guide - clean_v2.docx	Instruction
FY25 DVHT Reporting Reference Guide - clean_v2.docx	Instruction
7 Client Service Costs FY25 DVHT Performance Indicators - clean _v2.docx	Form
7 Client Service Costs FY25 DVHT Performance Indicators - clean _v2.docx	Form
7b DVHT Reporting Workbook - For Use Only If Recipient Unab FY25 DVHT Reporting Workbook_For Use Only If Recipient Unable to Report in ATIMS_v2.xlsx	Form and Instruction
7b DVHT Reporting Workbook - For Use Only If Recipient Unab FY25 DVHT Reporting Workbook_For Use Only If Recipient Unable to Report in ATIMS_v2.xlsx	Form and Instruction

IC Title:

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Printable Only
Form and Instruction	7b	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: 35

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	9	9
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.

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