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Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act
Case Plan Requirement, Title IV-E of the Social Security Act
OMB: 0980-0140
IC ID: 10176
OMB.report
HHS/HDSO
OMB 0980-0140
ICR 201112-0980-001
IC 10176
( )
Documents and Forms
Document Name
Document Type
Form 1
Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act
Form and Instruction
1 AFCARS
State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Case Plan Requirement Sections 422, 471 and 475 of te Social Security Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
45 CFR 1356
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
AFCARS
State Plan Pre-print 1-12-07 Final Highlighted 9-25-07.doc
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:
604,453
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
604,453
0
0
1,000
0
603,453
Annual IC Time Burden (Hours)
3,022,265
0
0
131,725
0
2,890,540
Annual IC Cost Burden (Dollars)
43,520,616
0
0
43,520,616
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.