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Federal forms, ICRs, and supporting documents

Information Collection Request

COMMUNITY WORK EXPERIENCE FINANCIAL RECORDS FINANCIAL RECORDS

ICR 198703-0970-023 · OMB 0970-0019 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
115799 COMMUNITY WORK EXPERIENCE FINANCIAL RECORDS FINANCIAL RECORDS Form Migrated
ICR Details
0970-0019 198703-0970-023
Historical Active 198511-0960-013
HHS/ACF
COMMUNITY WORK EXPERIENCE FINANCIAL RECORDS FINANCIAL RECORDS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/24/1987
Retrieve Notice of Action (NOA) 03/24/1987
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987
30 0 0
600 0 0
0 0 0
THE SOCIAL SECURITY ADMINISTRATION REQUIRES STATES TO KEEP THIS INFORMATION TO DETERMINE WHETHER CLAIMS MADE BY THE STATE FOR FEDERAL FINANCIAL PARTICIPATION ARE VALID. THE DATA ARE USED TO INSURE THAT STATE PAYMENTS TO PARTICIPANTS DO NOT EXCEED THE LIMIT DETERMINED BY T SECRETARY. THE AFFECTED PUBLIC IS COMPRISED OF STATES WHICH ELECT TO TO OPERATE COMMUNITY WORK EXPERIENCE PROGRAMS.
None
None
No
1
IC Title Form No. Form Name
COMMUNITY WORK EXPERIENCE FINANCIAL RECORDS FINANCIAL RECORDS SSA-4767, 9-81
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 0 0 0 30 0
Annual Time Burden (Hours) 600 0 0 0 600 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/24/1987