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Microsoft Word - 1a.nFORM_ApplicationForm (OMB NSC)
ICR 202608-0970-008 · OMB 0970-0566 · Object 171899100.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Microsoft Word - 1a.nFORM_ApplicationForm (OMB NSC) |
| Author | Grace Roemer |
| File Modified | 2026-07-31 |
| File Created | 2026-07-31 |
| Conversion State | complete |
Extracted Text
OMB NO.: 0970–0566; EXPIRATION DATE 7/31/2029 MATHEMATICA nFORM Application Form (screen C2) ACF will remove fields from the Client Information section of the C2. Application Form that asked whether the applicant was screened for intimate partner violence or teen dating violence, and the screening outcome. These fields previously appeared to the right of the Population drop down menu. Note that all screen shots include fictional information for illustrative purposes.