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Federal forms, ICRs, and supporting documents

Information Collection Request

CHILD SUPPORT ENFORCEMENT PROGRAM - EXTENSION OF SERVICES TO MEDICAID APPLICANTS AND RECIPIENTS AND TO FORMER AFDC RECIPIENTS

ICR 198911-0970-001 · OMB 0970-0107 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
115991 CHILD SUPPORT ENFORCEMENT PROGRAM - EXTENSION OF SERVICES TO MEDICAID APPLICANTS AND RECIPIENTS AND TO FORMER AFDC RECIPIENTS Migrated
ICR Details
0970-0107 198911-0970-001
Historical Active
HHS/ACF
CHILD SUPPORT ENFORCEMENT PROGRAM - EXTENSION OF SERVICES TO MEDICAID APPLICANTS AND RECIPIENTS AND TO FORMER AFDC RECIPIENTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/01/1990
Retrieve Notice of Action (NOA) 11/30/1989
  Inventory as of this Action Requested Previously Approved
10/31/1992 10/31/1992
1,293,774 0 0
14,886 0 0
0 0 0
THE INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THIS PROPOSED RUL WOULD ENSURE THAT IV-D AGENCIES COLLECT AND PROVIDE VARIOUS PARTIES TH INFORMATION NECESSARY TO EFFICIENTLY PROVIDE CHILD SUPPORT ENFORCEMENT SERVICES TO MEDICAID-ONLY APPLICANTS AND RECIPIENTS AND TO FORMER AFDC RECIPIENTS.
None
None
No
  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 1,293,774 0 0 1,293,774 0 0
Annual Time Burden (Hours) 14,886 0 0 14,886 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/30/1989