View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0970-0196	ICR Reference No: 201706-0970-006
Status: Historical Active	Previous ICR Reference No: 201409-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Financial Institution Data Match / Federally Assisted State Transmitted Levy
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/18/2017
	Date Received in OIRA: 07/07/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	09/30/2017
Responses	805	0	673
Time Burden (Hours)	5,275	0	3,974
Cost Burden (Dollars)	673	0	482,799

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	805	673	132
Annual Time Burden (Hours)	5,275	3,974	1,301
Annual Cost Burden (Dollars)	673	482,799	-482,126

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden increased due to software modifications.

Annual Cost to Federal Government: $1,161,831

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Robert Sargis 2026907275

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