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Case Plan -- Sections 422, 471(a)(16), 475(1), and 475(5)(A) of the Social Security Act
Case Plan -- Sections 422, 471(a)(16), 475(1), and 475(5)(A) of the Social Security Act
OMB: 0980-0140
IC ID: 10174
OMB.report
HHS/HDSO
OMB 0980-0140
ICR 199612-0980-001
IC 10174
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0140 can be found here:
2011-12-06 - Extension without change of a currently approved collection
2010-10-15 - Revision of a currently approved collection
Documents and Forms
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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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IC Title:
Case Plan -- Sections 422, 471(a)(16), 475(1), and 475(5)(A) of the Social Security Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
468,000
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
1
0
1
0
0
0
Annual IC Time Burden (Hours)
1,872,000
0
1,872,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.