Information Collection

Annual Report on Children in Foster Homes and Children Receiving Payments

IC 9787 under ICR 202405-0970-012 · OMB 0970-0004.

Documents and Forms

Document Name Document Type
ACF-4125 Instructions.docx Instruction
ACF-4125 Instructions.docx Instruction
ACF 4125 Annual Report on Children in Foster Homes and Children R ACF-4125 Form.xlsx Form
ACF 4125 Annual Report on Children in Foster Homes and Children R ACF-4125 Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Report on Children in Foster Homes and Children Receiving Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320 1 CFR 1124

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ACF-4125 Instructions.docx		Yes	Yes	Fillable Printable
Form	ACF 4125	Annual Report on Children in Foster Homes and Children Receiving Payments	ACF-4125 Form.xlsx		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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	13,746	13,746
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.