Information Collection

Child and Family Services Review Program Improvement Plan

IC 191019 under ICR 201708-0970-007 · OMB 0970-0214.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Child and Family Services Review Program Improvement Plan	Form and Instruction
1 CFSR Stakeholder Interview Guide CFSR Stakeholder Interview Guide.pdf	Form and Instruction

IC Title:

Child and Family Services Review Program Improvement Plan

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1355.35(a) 45 CFR 1355.35

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	CFSR Stakeholder Interview Guide	CFSR Stakeholder Interview Guide.pdf		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: 14

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14	1	13
Annual IC Time Burden (Hours)	4,200	300	3,900
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.