View Information Collection (IC)

View Information Collection (IC)

IC Title:	Center for States GovDelivery Subscription Form	Agency IC Tracking Number:	CB

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Subscription Form			Center for States SubscriptionForm_Dec 23_for OMB.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,000	0	2,000	0	0	0
Annual IC Time Burden (Hours)	100	0	100	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Center for States GovDelivery Subscription Form	SSA - Formative GenIC for ACF Program Support_ Center for States_ Gov Delivery Subscription Form.docx	12/11/2023

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