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Federal forms, ICRs, and supporting documents

Information Collection Request

REPORT OF CLAIMS OF GOOD CAUSE FOR REFUSING TO COOPERATE IN ESTABLISHING PATERNITY AND SECURING CHILD SUPPORT

ICR 199101-0970-001 · OMB 0970-0073 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
115938 REPORT OF CLAIMS OF GOOD CAUSE FOR REFUSING TO COOPERATE IN ESTABLISHING PATERNITY AND SECURING CHILD SUPPORT Form Migrated
ICR Details
0970-0073 199101-0970-001
Historical Active 198711-0970-001
HHS/ACF
REPORT OF CLAIMS OF GOOD CAUSE FOR REFUSING TO COOPERATE IN ESTABLISHING PATERNITY AND SECURING CHILD SUPPORT
Revision of a currently approved collection   No
Regular
Approved without change 02/25/1991
Retrieve Notice of Action (NOA) 01/08/1991
This information collection is approved through 12-93, under the following conditions: Include a burden estimate of the paperwork as outlined in 5 CFR 1320.21 with a request that the public direct comments to OIRA. Replace all references to SSA, with FSA. Replace OMB form number 0960-0177, with 0970-0073.
  Inventory as of this Action Requested Previously Approved
12/31/1993 12/31/1993 03/31/1991
10,086 0 10,076
2,527 0 2,525
0 0 0
INFORMATION TO MONIT ADMINISTRATION OF GOOD CAUSE CLAUSE AND EVALUATE EXTENSIVENESS AND REASONS FOR USAGE. UTILIZED BY CONGRESSIONAL COMMITTEES, STATE "WELFARE" DEPARTMENTS, "ADMINISTRATION" AND "PUBLIC" AND "PRIVATE" RESEARCH GROUPS AND MEDIA.
None
None
No
1
IC Title Form No. Form Name
REPORT OF CLAIMS OF GOOD CAUSE FOR REFUSING TO COOPERATE IN ESTABLISHING PATERNITY AND SECURING CHILD SUPPORT FSA-4680, FSA-4681
  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 10,086 10,076 0 0 10 0
Annual Time Burden (Hours) 2,527 2,525 0 0 2 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.
01/08/1991