Information Collection

Acf-196t

IC 224008 under ICR 201610-0970-011 · OMB 0970-0195.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0195 can be found here:

Documents and Forms

Document Name Document Type
Instructions Form 696T SEPT 2016.docx Instruction
ACF-696T Financial Report FR2 Form ACF-696T.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ACF-196T	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instructions Form 696T SEPT 2016.docx		Yes	Yes	Fillable Printable
Form	ACF-696T	Financial Report	FR2 Form ACF-696T.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 272	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	272	272
Annual IC Time Burden (Hours)	1,904	1,904
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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