Information Collection

Adoption Triad Survey

IC 227438 under ICR 201706-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Adoption Triad Survey	Form and Instruction
1 Adoption Triad Adoption Triad_DRAFT survey_final.docx	Form and Instruction
fast-track-PRA-submission-short-form_CWIG Adoption Triad Survey_final.doc Adoption Triad Survey	IC Document

IC Title:

Adoption Triad Survey

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	Adoption Triad	Adoption Triad_DRAFT survey_final.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: 595

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	595	595
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Adoption Triad Survey	fast-track-PRA-submission-short-form_CWIG Adoption Triad Survey_final.doc	07/10/2017

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