Information Collection

New Hire: States

IC 179587 under ICR 202507-0970-004 · OMB 0970-0166.

Documents and Forms

Document Name Document Type
Form 1 New Hire: States Form and Instruction
Form 1 New Hire Record Layout New Hire: States Form and Instruction
1 New Hire Record Layout 0970-0166_NDNH Record Specs_032125.docx Form and Instruction
1 New Hire Record Layout 0970-0166_NDNH Record Specs_032125.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	New Hire: States	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	New Hire Record Layout	0970-0166_NDNH Record Specs_032125.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: 54	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	8,829,754	1,829,754	7,000,000
Annual IC Time Burden (Hours)	150,106	31,106	119,000
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.

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