Information Collection

ACF Data Request

IC 277188 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACF Data Request - v2024-07 - Clean.docx	Other-Survey
SSA - Formative for ACF Program Support - GenIC - ACF Data Request - July 2024 update - Clean.docx SSA - ACF Data Request	IC Document
NOA_DataSharing_Change Request_ProgSuppGenIC_0970-0531_8.9.24.pdf NOA - ACF Data Request	IC Document

IC Title:

ACF Data Request

Agency IC Tracking Number:

OPRE

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Survey					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: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - ACF Data Request		08/22/2025
NOA - ACF Data Request		08/22/2025

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

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