Information Collection

Naational Adoption Month

IC 212742 under ICR 201211-0970-002 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Naational Adoption Month	Form and Instruction
1 National Adoption Month National_Adoption_Month_8.20.14_for OMB.docx	Form and Instruction
fast-track-PRA-submission-short-form_2014 NAM survey.doc National Adoption Month	IC Document

IC Title:

Naational Adoption Month

Agency IC Tracking Number:

ACYF

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	1	National Adoption Month	National_Adoption_Month_8.20.14_for OMB.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
National Adoption Month	fast-track-PRA-submission-short-form_2014 NAM survey.doc	08/20/2014

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