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Instrument 12: Baseline Parent/guardian reports to questions about children
OPRE Study: Variations in Implementation of Quality Interventions (VIQI) [Pilot, Impact, Process Studies]
OMB: 0970-0508
IC ID: 246848
OMB.report
HHS/ACF
OMB 0970-0508
ICR 202201-0970-001
IC 246848
( )
Documents and Forms
Document Name
Document Type
Instrument 12 Parent-Guardian Reports to Questions about Children CLEAN.docx
Other-Parent/Guardian Reports
Instrument 12 Parent-Guardian Reports to Questions about Children CLEAN.docx
Other-Parent/Guardian Reports
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument 12: Baseline Parent/guardian reports to questions about children
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-Parent/Guardian Reports
Instrument 12 Parent-Guardian Reports to Questions about Children 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:
6,300
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
2,098
0
0
0
0
2,098
Annual IC Time Burden (Hours)
210
0
0
0
0
210
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.