Information Collection

Attachment C.5: Follow-up protocol for child assessments (child burden)

IC 231367 under ICR 201807-0970-009 · OMB 0970-0508.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0508 can be found here:

Documents and Forms

Document Name Document Type
C.5_VIQI OMB 30 Follow-up Protocol for Child Assessments_revised clean.docx Other-Assessment Protocol

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attachment C.5: Follow-up protocol for child assessments (child burden)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Assessment Protocol			C.5_VIQI OMB 30 Follow-up Protocol for Child Assessments_revised clean.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: 820	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	820	820
Annual IC Time Burden (Hours)	820	820
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.