OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

STATE AGENCY STATEMENT OF FINANCIAL PLAN FOR AID TO FAMILIES WITH DEPENDENT CHILDREN

ICR 198706-0970-003 · OMB 0970-0010 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
115770 STATE AGENCY STATEMENT OF FINANCIAL PLAN FOR AID TO FAMILIES WITH DEPENDENT CHILDREN Form Migrated
ICR Details
0970-0010 198706-0970-003
Historical Active 198703-0970-014
HHS/ACF
STATE AGENCY STATEMENT OF FINANCIAL PLAN FOR AID TO FAMILIES WITH DEPENDENT CHILDREN
Revision of a currently approved collection   No
Regular
Approved without change 07/22/1987
Retrieve Notice of Action (NOA) 06/30/1987
HHS/ FSA MUST SUBMIT QUARTERLY REPORTS TO OMB DOCUMENTING HOW MUCH EACH STATE IS SPENDING PER CASE SAVE VERIFICATION. APPROVAL IS ONLY THROUGH JULY, 1988, AS BY THAT TIME MODIFICATION TO REFLECT A-102 WILL BE NECESSARY.
  Inventory as of this Action Requested Previously Approved
07/31/1988 07/31/1988 12/31/1987
108 0 108
216 0 216
0 0 0
DATA IS USED TO ESTABLISH BUDGET ESTIMATES, TO REASSESS AND MONITOR BUDGET PROGRESS AND TO SERVE AS THE STATES' ESTIMATES OF CURRENT YEAR REQUIREMENTS FOR A QUARTERLY REPORT TO CONGRESS.
None
None
No
1
IC Title Form No. Form Name
STATE AGENCY STATEMENT OF FINANCIAL PLAN FOR AID TO FAMILIES WITH DEPENDENT CHILDREN FSA-125
  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 108 108 0 0 0 0
Annual Time Burden (Hours) 216 216 0 0 0 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.
06/30/1987