[Federal Register Volume 60, Number 164 (Thursday, August 24, 1995)]
[Notices]
[Pages 44033-44034]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-20965]




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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Agency Information Collection Under OMB Review

    Title: Welfare Reform Demonstration Special Application Form.
    Description: The purpose of this collection is to obtain the 
necessary information for accelerated review and approval of proposals 
that are likely to 

[[Page 44034]]
assist in promoting the objectives of titles IV-A and D of the Social 
Security Act.
    Respondents: State governments.

------------------------------------------------------------------------
                                            No. of     Average          
                                No. of     responses   burden           
           Title             respondents      per        per     Burden 
                                          respondent  response          
------------------------------------------------------------------------
Form.......................         54           1       0.75      40.5 
------------------------------------------------------------------------
Estimated total annual burden hours: 40.5.                              

Additional Information

    ACF is requesting that OMB grant a 90 day approval for this 
information collection under procedures for emergency processing. The 
time period for this request is one day.

    Dated: August 15, 1995.
Bob Sargis,
Acting Reports Clearance Officer.
[FR Doc. 95-20965 Filed 8-23-95; 8:45 am]
BILLING CODE 4184-01-M