CB-496 - Title IV-E Programs Quarterly Financial Report

Generic Clearance for Financial Reports

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Document Name Document Type
Form CB-496 CB-496 - Title IV-E Programs Quarterly Financial Report Form
DRAFT Final CB 496 INSTRUCTIONS - Clean 10-10-18.docx Instruction
CB-496 CB Financial Report DRAFT Final CB-496 FORM Clean - 10-10-18.xlsx Form
CB-496 Mandatory Grant Submission Template 10-10-18.doc justification IC Document

Information Collection (IC) Details

IC Title:	CB-496 - Title IV-E Programs Quarterly Financial Report	Agency IC Tracking Number:

IC Status: New

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	CB-496	CB Financial Report	DRAFT Final CB-496 FORM Clean - 10-10-18.xlsx		Yes	Yes	Fillable Printable
Instruction			DRAFT Final CB 496 INSTRUCTIONS - Clean 10-10-18.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	268	268
Annual IC Time Burden (Hours)	6,432	6,432
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
justification	CB-496 Mandatory Grant Submission Template 10-10-18.doc	10/15/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.