Information Collection

CCDF Plan for States/Territories 2019-2021

IC 206080 under ICR 201712-0970-002 · OMB 0970-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0114 can be found here:

Documents and Forms

Document Name Document Type
Form 1 CCDF Plan for States/Territories 2019-2021 Form and Instruction
1 FY 2019-2021 CCDF Plan Preprint 18_5_18_CCDBG_FY2019-2021CCDF Plan Preprint.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CCDF Plan for States/Territories 2019-2021	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	1	FY 2019-2021 CCDF Plan Preprint	18_5_18_CCDBG_FY2019-2021CCDF Plan Preprint.docx		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: 56	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	Previously Approved
Annual Number of Responses for this IC	18	-10	28
Annual IC Time Burden (Hours)	3,600	-950	4,550
Annual IC Cost Burden (Dollars)	0	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.