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IV-E Foster Care and Adoption Assistance Financial Report
IV-E Foster Care and Adoption Assistance Financial Report
OMB: 0970-0205
IC ID: 10037
OMB.report
HHS/ACF
OMB 0970-0205
ICR 200902-0970-004
IC 10037
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0205 can be found here:
2015-08-04 - Revision of a currently approved collection
2013-06-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
IV-E Foster Care and Adoption Assistance Financial Report
Form
1 Title IV-E Foster Care and Adoption Assistance Financial
Form ACF-IV-E-1 02-2009.xls
Form
Instructions - Form ACF-IV-E-1 2-2009.doc
Instructions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
IV-E Foster Care and Adoption Assistance Financial Report
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
Form
1
Title IV-E Foster Care and Adoption Assistance Financial Report
Form ACF-IV-E-1 02-2009.xls
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:
52
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
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
208
0
204
0
0
4
Annual IC Time Burden (Hours)
3,328
0
-208
0
0
3,536
Annual IC Cost Burden (Dollars)
66,560
0
66,560
0
0
0
Documents for IC
Title
Document
Date Uploaded
Instructions
Instructions - Form ACF-IV-E-1 2-2009.doc
02/09/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.