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Leadership Interview - CIPS
Evaluation of the Child Welfare Capacity Building Collaborative
OMB: 0970-0484
IC ID: 220281
OMB.report
HHS/ACF
OMB 0970-0484
ICR 201602-0970-011
IC 220281
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0484 can be found here:
2019-08-19 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Leadership Interview - CIPS
Form and Instruction
1 Leadership Interview-CIPS
Leadership Interview-CIPs.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Leadership Interview - CIPS
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
Leadership Interview-CIPS
Leadership Interview-CIPs.doc
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:
13
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
26
0
26
0
0
0
Annual IC Time Burden (Hours)
26
0
26
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.