Information Collection Request

Child Welfare Information Gateway

ICR 201008-0970-001 · OMB 0970-0303 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0970-0303 Customer Survey - Ind / Households Form Modified Available
Form 0970-0303 Customer Services Information Ques - State, Local Form New Available
Form 0970-0303 Customer Services Information Ques - Private Form New Available
Form 0970-0303 Customer Services Information Ques - Ind / Households Form New Available
Form 0970-0303 User Needs Assessment Focus Group - State, Local Form New Available
Form 0970-0303 User Needs Assessment Focus Group - Private Form New Available
Form 0970-0303 Webinar - Federal Form New Available
Form 0970-0303 Webinar - Private Form New Available
Form 0970-0303 Online tool / Web section survey - State, Local Form New Available
Form 0970-0303 Online tool / Web section survey - Private Form New Available
Form 0970-0303 Online tool / Web section survey - Ind / households Form New Available
Form 0970-0303 Comment Card - Private Sector Form New Available
Form 0970-0303 General Focus Group - State local Form Modified Available
Form 0970-0303 General Focus Group - Private Sector Form Modified Available
Form 0970-0303 Comment Card - State, Local and Tribe Form Modified Available
Form 0970-0303 Comment Card - Ind / Households Form Modified Available
Form 0970-0303 Publication Survey - State, Local Form Modified Available
Form 0970-0303 Publication Survey - Private Sector Form Modified Available
Form 0970-0303 Publication Survey - Ind / Households Form Modified Available
Form 0970-0303 Customer Survey - State, Local, or Tribal Form Modified Available
Form 0970-0303 Customer Survey - Private Sector Form Modified Available
Supporting Statement Part B_6-25-10.pdf Supporting Statement B Uploaded 2010-06-29 Available
Appendix A_Executive Order.pdf Supplementary Document Uploaded 2010-06-29 Available
Supporting Statement Part A_10.12.10.doc Supporting Statement A Uploaded 2010-10-13 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2013 36 Months From Approved 09/30/2011
7,650 0 2,153
311 0 175
0 0 0





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21
table that charts list of burden
IC Title Form No. Form Name
Customer Survey - Ind / Households 0970-0303 Appendix B_Customer Survey
Customer Survey - Private Sector 0970-0303 Appendix C_Customer Survey
Customer Survey - State, Local, or Tribal 0970-0303 Appendix D_Customer Survey
Publication Survey - Ind / Households 0970-0303 Appendix E_Publication Survey
Publication Survey - Private Sector 0970-0303 Publication survey
Publication Survey - State, Local 0970-0303 Publication survey
Comment Card - Ind / Households 0970-0303 Appendix H_Coment Card
Comment Card - State, Local and Tribe 0970-0303 Appendix I
General Focus Group - Private Sector 0970-0303 Appendix P_General Focus Group Guide
General Focus Group - State local 0970-0303 Appendix Q_General Focus Group Guide
Comment Card - Private Sector 0970-0303 Comment Card_Appendix J
Online tool / Web section survey - Ind / households 0970-0303 Appendix K_Online Tool / Web Section Survey
Online tool / Web section survey - Private 0970-0303 Appendix L_Online Tool / Web Section Survey
Online tool / Web section survey - State, Local 0970-0303 Appendix M_Online Tool / Web Section Survey
Webinar - Private 0970-0303 Appendix N_Webinar Feedback Survey
Webinar - Federal 0970-0303 Appendix O_Webinar Feedback Survey
User Needs Assessment Focus Group - Private 0970-0303 Appendix R_User Needs Assessment Focus Group Guide
User Needs Assessment Focus Group - State, Local 0970-0303 Appendix S_User Needs Assessment Focus Group Guide
Customer Services Information Ques - Ind / Households 0970-0303 Appendix T_Customer Services Information Questions
Customer Services Information Ques - Private 0970-0303 Appendix U_Customer Services Information Questions
Customer Services Information Ques - State, Local 0970-0303 Appendix V_Customer Services Information Questions

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,650 2,153 0 5,497 0 0
Annual Time Burden (Hours) 311 175 0 136 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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