Information Collection

Individual and Family Grant (IFG) and the Individuals and Households Program-Other Needs Assistance (IHP-ONA)

IC 43972 under ICR 200607-1660-002 · OMB 1660-0018.

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Information Collection (IC) Details

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IC Title:	Individual and Family Grant (IFG) and the Individuals and Households Program-Other Needs Assistance (IHP-ONA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	76-27	Yes	Yes
Form	76-34	Yes	Yes
Form	76-28	Yes	Yes
Form	76-38	Yes	Yes
Form	76-32	Yes	Yes
Form	76-29	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,202	-6,160	0	7,362
Annual IC Time Burden (Hours)	301	-513	0	814
Annual IC Cost Burden (Dollars)	0	0	-15,000	15,000

Documents for IC

Title	Document	Date Uploaded

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