View Information Collection (IC)

View Information Collection (IC)

IC Title:	SSP-MOE Data Report - Part 265	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 265

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SSP-MOE Data Report Form - Part 265	TANF&SSP_Data_Report_layouts_FR2.xlsx		Yes	Yes	Fillable Fileable
Instruction			ACF-199&209 TANFSSP data report instructions_cleanFR2.docx		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OFA Temporary Assistance for Needy Families (TANF) Data System	FR Citation: 85 FR 6591

Number of Respondents: 29	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	116	0	0	0	0	116
Annual IC Time Burden (Hours)	82,824	0	0	0	0	82,824
Annual IC Cost Burden (Dollars)	0	0	0	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.