OMB
.report
Search
Professional Self-Care Scale (PSCS) (teachers only)
Head Start Evaluation of a Trauma-Informed Care Program
OMB: 0970-0590
IC ID: 250789
OMB.report
HHS/ACF
OMB 0970-0590
ICR 202112-0970-007
IC 250789
( )
Documents and Forms
Document Name
Document Type
Instrument 11 Professional Self-Care Scale (PSCS)_111221.docx
Other-Self-Care Scale (PSCS)
Instrument 11 Professional Self-Care Scale (PSCS)_111221.docx
Other-Self-Care Scale (PSCS)
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Professional Self-Care Scale (PSCS) (teachers only)
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
Other-Self-Care Scale (PSCS)
Instrument 11 Professional Self-Care Scale (PSCS)_111221.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:
30
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:
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
6
0
6
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.