Information Collection

Survey for Private Custody Child Welfare Administrators (Appendix C)

IC 234717 under ICR 201901-0970-003 · OMB 0970-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0526 can be found here:

Documents and Forms

Document Name Document Type
Appendix C - Survey for Private Custody CW Admin 2018-12-20-18_CLEAN.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey for Private Custody Child Welfare Administrators (Appendix C)	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-Survey			Appendix C - Survey for Private Custody CW Admin 2018-12-20-18_CLEAN.docx		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: 21	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.