Attachment A: TANF Administrator Web Survey (State and County)

How TANF Agencies Support Families Experiencing Homelessness

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0524 can be found here:

Documents and Forms

Document Name Document Type
Attachment A_TANF Homeless Web Survey 2.27.19 clean.docx Other-Web Survey

Information Collection (IC) Details

IC Title:	Attachment A: TANF Administrator Web Survey (State and County)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Survey			Attachment A_TANF Homeless Web Survey 2.27.19 clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 69	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 Agency Discretion
Annual Number of Responses for this IC	69	69
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	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.