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Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs
OMB: 0970-0510
IC ID: 267379
OMB.report
HHS/ACF
OMB 0970-0510
ICR 202409-0970-013
IC 267379
( )
Documents and Forms
Document Name
Document Type
Form 696
Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Form
696 form instructions non-substantive change_clean.docx
Instruction
696 Child Care and Development Fund (CCDF) ACF-696 Financial
Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx
Form
mandatory_grant_submission_ACF696_4.5.24.docx
Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories
IC Document
Change Request (696 & 696T non-substantive change)_fnl.docx
NonSub Change - 696 & 696T updates
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Agency IC Tracking Number:
OCC
IC Status:
Unchanged
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
696
Child Care and Development Fund (CCDF) ACF-696 Financial Report for States and Territories
Child Care 696 Form_clean (OGM & OCC) 4.4.24.xlsx
Yes
Yes
Fillable Fileable
Instruction
696 form instructions non-substantive change_clean.docx
Yes
Yes
Printable Only
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:
56
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
224
0
0
0
0
224
Annual IC Time Burden (Hours)
1,344
0
0
0
0
1,344
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Non-Discretionary Financial Form GenIC - CCDF ACF-696 States and Territories
mandatory_grant_submission_ACF696_4.5.24.docx
05/01/2024
NonSub Change - 696 & 696T updates
Change Request (696 & 696T non-substantive change)_fnl.docx
08/22/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.