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Federal forms, ICRs, and supporting documents

Information Collection

Detailed Case Data Component (Child File and Agency File) - Programmatic Staff

IC 260705 under ICR 202606-0970-004 · OMB 0970-0424.

Documents and Forms
Document Name
Document Type
Other-Data Elements
Instruction
Other-Data Elements
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Detailed Case Data Component (Child File and Agency File) - Programmatic Staff
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 1340

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Elements Agency File Data Elements.docx Yes Yes Fillable Fileable
Instruction Agency File Submission Instructions.docx Yes Yes Printable Only
Other-Data Elements Child File Data Elements.docx Yes Yes Fillable Fileable
Instruction Child File Submission Instructions.docx Yes Yes Printable Only

Community and Social Services Social Services

 

52 0
   
State, Local, and Tribal Governments
 
   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 52 0 0 0 0 52
Annual IC Time Burden (Hours) 3,401 0 0 0 0 3,401
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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