OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Statistical Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program

ICR 201712-0970-003 · OMB 0970-0004 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form ACF 4125 Annual Statistical Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Form Modified Available
SupportStatment-c 0970-0004.doc Supporting Statement A Uploaded 2017-12-14 Available
ACF 4125 Report PI.pdf Supplementary Document Uploaded 2011-11-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9787 Annual Statistical Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program Form Modified
ICR Details
0970-0004 201712-0970-003
Active 201409-0970-003
HHS/ACF OFA
Annual Statistical Report on Children in Foster Homes and in Families Receiving Payments in Excess of the Poverty Income Level from a State Program
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 03/28/2018
Retrieve Notice of Action (NOA) 12/14/2017
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved
52 0 0
13,746 0 0
0 0 0
DHHS is required to collect these data under section 1124 of Title I of the Elementary and Secondary Education Act, as amended by PL 103-382. The data are used by the U.S. Department of Education for allocation of funds for programs to aid disadvantaged elementary and secondary students. Respondents include various components of State Human Service agencies.
US Code: 1 USC 1124 Name of Law: null
  
None
Not associated with rulemaking
  82 FR 45028 09/27/2017
82 FR 57758 12/07/2017
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 52 0 0 0 0 52
Annual Time Burden (Hours) 13,746 0 0 0 0 13,746
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$8,400
No
    No
    No
No
No
No
Uncollected
Robert Sargis 2026907275
  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.
12/14/2017