Information Collection

Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews

IC 10051 under ICR 200610-0970-008 · OMB 0970-0214.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CFSR On-site review instrument.doc	Other-Other
CFSR On-site Stakeholders Interview Guide.doc	Other-Other
CFSR Self-assessment Form w Built-in Instructions.doc	Other-Other
CFSR Standard PIP Format.doc	Other-Other
passback.pdf passback	IC Document

IC Title:

Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other	CFSR On-site review instrument.doc	No	No	Paper Only
Other-Other	CFSR On-site Stakeholders Interview Guide.doc	No	No	Paper Only
Other-Other	CFSR Self-assessment Form w Built-in Instructions.doc	No	No	Paper Only
Other-Other	CFSR Standard PIP Format.doc	No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	52	10	42
Annual IC Time Burden (Hours)	21,450	7,378	14,072
Annual IC Cost Burden (Dollars)	429,000	429,000	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
passback	passback.pdf	01/09/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.