Instructions For Form Acf-4125 - Annual Statistical Report On Children In Foster Homes And Children In Families Receiving Payments In Excess Of The Poverty Income Level From A State Program Funded Under Part A Of Title Iv Of The Social Security Act Page 3

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This report must be received in Washington, DC no later than December 31, 2016 following the report period.
"PAPERWORK REDUCTION ACT OF 1995"
Public reporting burden for this collection of information is estimated to average 264 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering the data needed, and
completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number.

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