Cross-Site Evaluation of the National Child Traumatic Stress Initiative (NCTSI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0276 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment 3 - Sur Cross-Site Evaluation of the National Child Traumatic Stress Initiative (NCTSI) Form and Instruction
Attachment 3 - Sur Attachment 3 - Surveys Attachment 3 - Instruments.zip Form and Instruction
Other Attachments.zip Attachments 1, 2, 4, and 5 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cross-Site Evaluation of the National Child Traumatic Stress Initiative (NCTSI)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	Attachment 3 - Surveys	Attachment 3 - Surveys	Attachment 3 - Instruments.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,986	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	419,720	400,121	19,599
Annual IC Time Burden (Hours)	11,333	-5,889	17,222
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments 1, 2, 4, and 5	Other Attachments.zip	03/23/2009

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