Instrument 5: Module-specific transfer potential and perceived competency items

Evaluation of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0608 can be found here:

Documents and Forms

Document Name Document Type
Inst 5 - Module-specific transfer potential and perceived competency items.docx Other-Survey
Inst 5 - Module-specific transfer potential and perceived competency items.docx Other-Survey

Information Collection (IC) Details

IC Title:	Instrument 5: Module-specific transfer potential and perceived competency items	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-Survey			Inst 5 - Module-specific transfer potential and perceived competency items.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	5	5
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.