Center for Tribes Demographic Survey

Evaluation of the Child Welfare Capacity Building Collaborative

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0484 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Center for Tribes Demographic Survey Form and Instruction
1 Center for Tribes Demographic Survey Center for Tribes Demographic Survey Revised_June_2016.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Center for Tribes Demographic Survey	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	Center for Tribes Demographic Survey	Center for Tribes Demographic Survey Revised_June_2016.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	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.