Information Collection

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

IC 7691 under ICR 200903-0930-002 · OMB 0930-0276.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.