General Testimony

45 CFR 303.7 - Provision of Services in Intergovernmental IV-D; Federally Approved Forms

Documents and Forms

Document Name Document Type
Form 1 General Testimony Form
OMB 0970-0085 General Testimony Instructions -Final Translation.pdf Instruction
General Testimony Instructions (1).pdf Instruction
1 General Testimony - Spanish OMB 0970-0085 General Testimony-Final Translation.pdf Form
1 1 General Testimony (1).pdf Form

Information Collection (IC) Details

IC Title:	General Testimony	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 303.7(a)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	General Testimony - Spanish	OMB 0970-0085 General Testimony-Final Translation.pdf	Yes	Yes	Fillable Fileable
Instruction			OMB 0970-0085 General Testimony Instructions -Final Translation.pdf	Yes	Yes	Printable Only
Form	1	1	General Testimony (1).pdf	Yes	Yes	Fillable Fileable
Instruction			General Testimony Instructions (1).pdf	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: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	346,626	346,626
Annual IC Time Burden (Hours)	114,387	114,387
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.