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Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
The Community Choice Demonstration
OMB: 2528-0337
IC ID: 262900
OMB.report
HUD/PD&R
OMB 2528-0337
ICR 202410-2528-002
IC 262900
( )
Documents and Forms
Document Name
Document Type
Attachment H.1_The Child Assessment_Survey About Child_Baseline.docx
Other-Survey about child (asked of p
Attachment H.1_The Child Assessment_Survey About Child_Baseline.docx
Other-Survey about child (asked of p
Attachment H.2_The Child Assessment_Survey About Child_Follow-up.docx
Other-Survey about child (asked of p
Attachment H.2_The Child Assessment_Survey About Child_Follow-up.docx
Other-Survey about child (asked of p
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
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 about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Attachment H.1_The Child Assessment_Survey About Child_Baseline.docx
Yes
Yes
Fillable Fileable
Other-Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Attachment H.2_The Child Assessment_Survey About Child_Follow-up.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
837
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
1,674
0
0
0
0
1,674
Annual IC Time Burden (Hours)
1,256
0
0
0
0
1,256
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.