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National Center on Substance Abuse and Child Welfare Technical Assistance Request Form

IC 280733 under ICR 202606-0970-001 · OMB 0970-0531.

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

View Information Collection (IC)

National Center on Substance Abuse and Child Welfare Technical Assistance Request Form CB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Request Form Instrument1_NCSACW_Technical_Assistance_Request_Form_6.2.26.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

300 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 20 0 20 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Prog Supp GenIC - NCSACW TA Request Form SSA-Formative for ACF Program Support_TA Request Form_NCSACW_6.2.26.docx 06/03/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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