Information Collection

CFS-101, Parts I, II, and III

IC 184244 under ICR 202607-0970-007 · OMB 0970-0426.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CFS-101s Part I II CFS-101s Part I II III Forms and Instructions CFS-101, Parts I, II, and III	Form and Instruction
CFS-101s Part I II CFS-101s Part I II III Forms and Instructions CFS-101s Part I II III Forms and Instructions - Clean Version.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1357.15

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
Form and Instruction	CFS-101s Part I II III				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: 233

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
	Requested	Previously Approved
Annual Number of Responses for this IC	233	233
Annual IC Time Burden (Hours)	1,165	1,165
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.

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