Information Collection

21 – Consent for child video coding study (Staff Burden)

IC 225630 under ICR 201710-0970-002 · OMB 0970-0485.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 21 - Video Consent Father.docx	Other-Consent
Attachment 22 - Video Consent Child.docx	Other-Consent

IC Title:

21 â Consent for child video coding study (Staff Burden)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-Consent			Attachment 21 - Video Consent Father.docx		Yes	Yes	Fillable Fileable
Other-Consent			Attachment 22 - Video Consent Child.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	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.