Information Collection

Child Welfare Information Gateway Prevention Resource Guide Tip Sheet Feedback Form

IC 240765 under ICR 201801-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
PreventionResourceGuideTipSheetFeedbackForm.docx	Other-Feedback Form
OMBFastTrackApplication_PreventionResourceGuideTipsheetFeedbackForm_final.docx Fast Track Submission Form - CWIG Prevention Resource Guide Feedback Form	IC Document

IC Title:

Child Welfare Information Gateway Prevention Resource Guide Tip Sheet Feedback Form

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
Other-Feedback Form			PreventionResourceGuideTipSheetFeedbackForm.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: 35

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form - CWIG Prevention Resource Guide Feedback Form	OMBFastTrackApplication_PreventionResourceGuideTipsheetFeedbackForm_final.docx	03/17/2020

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