Information Collection

2013 National Survey of Children in Nonparental Care

IC 205097 under ICR 201103-0920-007 · OMB 0920-0406.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2013 National Survey of Children in Nonparental Care	Form and Instruction
2013 NSCNC Questionnaire SLAITS 2013 NSCNC OMB_attachment A 120612.docx	Form and Instruction
SLAITS NSCNC OMB_attachment B.docx Letters	IC Document
SLAITS NSCNC OMB_attachment C.docx Selected Publications	IC Document
SLAITS NSCNC OMB_attachment D.docx Selected Persons in Planning Process	IC Document
SLAITS NSCNC OMB_attachment E.docx Scripts	IC Document
SLAITS NSCNC OMB_attachment F.docx ERB Letter	IC Document
SLAITS 2013 NSCNC_OMB_supporting_stat B 011613 (4).docx Supp Stmt Part B	IC Document
SLAITS 2013 NSCNC_OMB_supporting_stat A 011613 (4).docx Supp Stmt Part A	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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	none	2013 NSCNC Questionnaire	SLAITS 2013 NSCNC OMB_attachment A 120612.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probability Samples of the US Populatoin

FR Citation: 49 FR 37637

Number of Respondents: 1,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Letters	SLAITS NSCNC OMB_attachment B.docx	12/12/2012
Selected Publications	SLAITS NSCNC OMB_attachment C.docx	12/12/2012
Selected Persons in Planning Process	SLAITS NSCNC OMB_attachment D.docx	12/12/2012
Scripts	SLAITS NSCNC OMB_attachment E.docx	12/12/2012
ERB Letter	SLAITS NSCNC OMB_attachment F.docx	12/12/2012
Supp Stmt Part B	SLAITS 2013 NSCNC_OMB_supporting_stat B 011613 (4).docx	01/24/2013
Supp Stmt Part A	SLAITS 2013 NSCNC_OMB_supporting_stat A 011613 (4).docx	01/24/2013

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