National Survey of Children in Nonparental Care - revised questionnaire

State and Local Area Integrated Telephone Survey (SLAITS)

Documents and Forms

Document Name Document Type
National Survey of Children in Nonparental Care - revised questionnaire Form
National Survey of Children in Nonparental Care SLAITS 2013 NSCNC_OMB_revised QRE_attach A.docx Form
SLAITS 2013 NSCNC_OMB_revised QRE_attach B.docx B - Summary of changes IC Document
SLAITS 2013 NSCNC_OMB_revised QRE package 041913 (5).docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	National Survey of Children in Nonparental Care - revised questionnaire	Agency IC Tracking Number:

IC Status: New

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	none	National Survey of Children in Nonparental Care	SLAITS 2013 NSCNC_OMB_revised QRE_attach A.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1	0	0	0	0	0
Annual IC Time Burden (Hours)	1	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
B - Summary of changes	SLAITS 2013 NSCNC_OMB_revised QRE_attach B.docx	04/22/2013
Supporting Statement	SLAITS 2013 NSCNC_OMB_revised QRE package 041913 (5).docx	04/22/2013

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