View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	OCSE-100	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
Other-Other					No	No	Paper Only

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: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	432	378	0	0	0	54
Annual IC Time Burden (Hours)	216	81	0	0	0	135
Annual IC Cost Burden (Dollars)	0	0	0	-163	0	163

Documents for IC

Title	Document	Date Uploaded
Simplified Distribution Pre-Print Preprint Page January 12 2007		01/17/2007

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

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