Information Collection

Case Plan Requirement - Title IV-E of the Social Security Act

IC 10176 under ICR 202605-0970-005 · OMB unassigned.

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IC Title:

Case Plan Requirement - Title IV-E of the Social Security Act

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1356.21(a), (f) and (g)

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

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	435,277	-71,581	506,858
Annual IC Time Burden (Hours)	1,654,051	-778,867	2,432,918
Annual IC Cost Burden (Dollars)	0	0	0

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

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