Information Collection

Child Assessment

IC 188550 under ICR 201402-0970-002 · OMB 0970-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0151 can be found here:

Documents and Forms

Document Name Document Type
2_Child Assessment.doc Other-CHILD ASSESSMENT
Modificiations_2_Child Assessment.doc Other-MODIFICATION 2 CHILD ASSESSMEN

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Child Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Other-CHILD ASSESSMENT			2_Child Assessment.doc		Yes	Yes	Fillable Printable
Other-MODIFICATION 2 CHILD ASSESSMENT			Modificiations_2_Child Assessment.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,245	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 26 %

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

Documents for IC

Title	Document	Date Uploaded
No associated records found

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