Transmission Layouts on TANF HPB

State High Performance Bonus system (HPBS) Transmission File Layouts for HPBS work measures

Documents and Forms

Document Name Document Type
Form 1 Transmission Layouts on TANF HPB Form
1 State High Performance Bonus Submission Transmission Fil State High Performance Bonus Submission Transmission File Layouts.doc Form

Information Collection (IC) Details

IC Title:	Transmission Layouts on TANF HPB	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	State High Performance Bonus Submission Transmission File Layouts	State High Performance Bonus Submission Transmission File Layouts.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Amended Systems of Record Notice	FR Citation: 69 FR 33644

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-34	84
Annual IC Time Burden (Hours)	600	-408	1,008
Annual IC Cost Burden (Dollars)	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.