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CWIG - Private Sector
Child Welfare Information Gateway Follow-up Survey
OMB: 0970-0431
IC ID: 204656
OMB.report
HHS/ACF
OMB 0970-0431
ICR 201210-0970-005
IC 204656
( )
Documents and Forms
Document Name
Document Type
Form 1
CWIG - Private Sector
Form and Instruction
1 Survey
Follow-on Survey_10 11 12 final version for OMB.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CWIG - Private Sector
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
Form and Instruction
1
Survey
Follow-on Survey_10 11 12 final version for OMB.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
100
0
100
0
0
0
Annual IC Time Burden (Hours)
17
0
17
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.