Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff

Prevention of Child Maltreatment through Policy Change

Documents and Forms

Document Name Document Type
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff Form
Survey of County TANF and CW Respondents Atmt D - Survey of TANF and Child Welfare Respondents.docx Form
Survey of County Respondents - screenshots Atmt K - County level survey.pdf Form

Information Collection (IC) Details

IC Title:	Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff	Agency IC Tracking Number:

Is this a Common Form? No		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	Survey of County TANF and CW Respondents	Atmt D - Survey of TANF and Child Welfare Respondents.docx		Yes	Yes	Fillable Fileable
Form	none	Survey of County Respondents - screenshots	Atmt K - County level survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	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.