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Survey for Private Custody Child Welfare Administrators (Appendix C)
OPRE Descriptive Study: Descriptive Study of the Unaccompanied Refugee Minors Program
OMB: 0970-0526
IC ID: 234717
OMB.report
HHS/ACF
OMB 0970-0526
ICR 201907-0970-011
IC 234717
( )
Documents and Forms
Document Name
Document Type
Appendix C - Survey for Private Custody CW Admin 2018-12-20-18_CLEAN.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey for Private Custody Child Welfare Administrators (Appendix C)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Other-Survey
Appendix C - Survey for Private Custody CW Admin 2018-12-20-18_CLEAN.docx
Yes
Yes
Fillable Fileable
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:
21
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
21
0
0
0
0
21
Annual IC Time Burden (Hours)
14
0
0
0
0
14
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.