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County Data Manager
Prevention of Child Maltreatment through Policy Change
OMB: 0920-1025
IC ID: 210908
OMB.report
HHS/CDC
OMB 0920-1025
ICR 201403-0920-013
IC 210908
( )
Documents and Forms
Document Name
Document Type
County Data Manager
Form
County Data Manager - Survey of County TANF and CW Respo
Atmt D - Survey of TANF and Child Welfare Respondents.docx
Form
Survey of County Respondents - screenshots
Atmt K - County level survey.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
County Data Manager
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
none
County Data Manager - Survey of County TANF and CW Respondents
Atmt D - Survey of TANF and Child Welfare Respondents.docx
Yes
Yes
Fillable Fileable
Form
none
Survey of County Respondents - screenshots
Atmt K - County level survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
5
0
5
0
0
0
Annual IC Time Burden (Hours)
1
0
1
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.