Information Collection

Child Assessment

IC 188550 under ICR 200903-0970-007 · OMB 0970-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0151 can be found here:

Documents and Forms

Document Name Document Type
2_Child Assessment.doc Other-CHILD ASSESSMENT
Modificiations_2_Child Assessment.doc Other-MODIFICATION 2 CHILD ASSESSMEN

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Child Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MODIFICATION 2 CHILD ASSESSMENT			Modificiations_2_Child Assessment.doc		Yes	Yes	Fillable Printable
Other-CHILD ASSESSMENT			2_Child Assessment.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,245	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 26 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,245	3,245
Annual IC Time Burden (Hours)	2,434	2,434
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.