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Federal forms, ICRs, and supporting documents

Information Collection

ACF Optional-Use Data Sharing Request Form

IC 260203 under ICR 202308-0970-006 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-
Other-
IC Document
IC Document
Information Collection (IC) Details

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ACF Optional-Use Data Sharing Request Form OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- ACF Optional-Use Data Sharing Request Form - PRA Review - Updated.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

100 0
   
Individuals or Households
 
   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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 300 0 0 0 0 300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - ACF Optional-Use Data Sharing Request Form SSA - Formative for ACF Program Support - GenIC - Data Sharing Request Template_fnl clean.docx 05/15/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.