Information Collection

Child Welfare Information Gateway 9-14

IC 213140 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⚠️ Notice: This information collection may be referencing outdated material.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 Child Welfare Information Gateway 9-14	Form and Instruction
1 General Customer Survey General Customer Survey_sent to OMB 9.16.14.docx	Form and Instruction
Fast Track submission_FY15 CUSTOMER SURVEY_sent to OMB 9.16.14.doc CWIG Satisfaction Survey 9-14	IC Document

IC Title:

Child Welfare Information Gateway 9-14

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	1	General Customer Survey	General Customer Survey_sent to OMB 9.16.14.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: 2,267

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,267	2,267
Annual IC Time Burden (Hours)	145	145
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CWIG Satisfaction Survey 9-14	Fast Track submission_FY15 CUSTOMER SURVEY_sent to OMB 9.16.14.doc	09/16/2014

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