Information Collection

Permanency Innovations Initiative - California Partnership for Permanency (CAPP)

IC 214527 under ICR 201603-0970-008 · OMB 0970-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A1. CAPP FAQ Parent-Guardian with Bill of Rights.docx	Other-Consent
A2. CAPP Parent Study Contact Information Form.docx	Other-Contact Info
A3. CAPP Parent-Guardian Interview with consent script.docx	Other-Interview
Supporting Statement A_AZ CAPP IL generic_FINAL 1.1.13.docx PII - CAPP Supporting Statement A	IC Document
Supporting Statement B_AZ CAPP IL generic_FINAL 1.1.13.docx PII - CAPP Supporting Statement B	IC Document
PII - CAPP Increase in Burden Memo 10.7.14.KM.docx PII Nonsubstantive Change Request Memo	IC Document

IC Title:

Permanency Innovations Initiative - California Partnership for Permanency (CAPP)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consent	A1. CAPP FAQ Parent-Guardian with Bill of Rights.docx	Yes	Yes	Fillable Fileable
Other-Contact Info	A2. CAPP Parent Study Contact Information Form.docx	Yes	Yes	Fillable Fileable
Other-Interview	A3. CAPP Parent-Guardian Interview with consent script.docx	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 49

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	49	49
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PII - CAPP Supporting Statement A	Supporting Statement A_AZ CAPP IL generic_FINAL 1.1.13.docx	01/08/2015
PII - CAPP Supporting Statement B	Supporting Statement B_AZ CAPP IL generic_FINAL 1.1.13.docx	01/08/2015
PII Nonsubstantive Change Request Memo	PII - CAPP Increase in Burden Memo 10.7.14.KM.docx	01/08/2015

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