View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Title IV-E Prevention Services Clearinghouse
Agency IC Tracking Number:
IC Status:
Unchanged
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-Consultation Discussion Guide
Instrument 1_Consultation Discussion Guide.docx
Yes
Yes
Printable Only
Other-Consultation Feedback Form
Instrument 2_Consultation Feedback Form.docx
Yes
Yes
Printable Only
Other-Program Description Review Request
Instrument 3_Program Description Review Request.docx
Yes
Yes
Printable Only
Other-Manual Request
Instrument 4_ManualRequest.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:
215
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
71
0
0
0
0
71
Annual IC Time Burden (Hours)
88
0
0
0
0
88
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Title IV-E Prevention Services Clearinghouse
PSC OMB Part A.docx
12/13/2023
SSB - Title IV-E Prevention Services Clearinghouse
PSC OMB Part B.docx
12/13/2023
NOA - Title IV-E Prevention Services Clearinghouse
NOA_Title IV-E Prev Srvcs Clrnghs GenIC_Formative Generic Research_0970-0356_1.5.22.pdf
12/13/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.