Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:

Documents and Forms

Document Name Document Type
CFSR On-site review instrument.doc Other-Other
CFSR On-site Stakeholders Interview Guide.doc Other-Other
CFSR Self-assessment Form w Built-in Instructions.doc Other-Other
CFSR Standard PIP Format.doc Other-Other
passback.pdf passback IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other	CFSR On-site review instrument.doc	No	No	Paper Only
Other-Other	CFSR On-site Stakeholders Interview Guide.doc	No	No	Paper Only
Other-Other	CFSR Self-assessment Form w Built-in Instructions.doc	No	No	Paper Only
Other-Other	CFSR Standard PIP Format.doc	No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	52	10	42
Annual IC Time Burden (Hours)	21,450	7,378	14,072
Annual IC Cost Burden (Dollars)	429,000	429,000	0

Documents for IC

Title	Document	Date Uploaded
passback	passback.pdf	01/09/2007

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