Information Collection

Child Maltreatment Incidence Data Linkages

IC 245217 under ICR 202101-0970-001 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
50514_07_Appendix A_Semi-Structured Interviews_Revised_121118_Clean.docx	Other-Interviews
50514_07_Appendix A_Semi-Structured Interviews_Revised_121118_Clean.docx	Other-Interviews
50514_07_Appendix B_Questionnaire_Revised_121118_Clean.docx	Other-Questionnaire
50514_07_Appendix B_Questionnaire_Revised_121118_Clean.docx	Other-Questionnaire
CMI Data Linkages Formative Generic - SSA Final.docx Supporting Statement A - CMI Data Linkages Formative Generic Request	IC Document
CMI Data Linkages Formative Generic - SSA Final.docx Supporting Statement A - CMI Data Linkages Formative Generic Request	IC Document
CMI Data Linkages Formative Generic - SSB Final.docx Supporting Statement B - CMI Data Linkages Formative Generic Request	IC Document
CMI Data Linkages Formative Generic - SSB Final.docx Supporting Statement B - CMI Data Linkages Formative Generic Request	IC Document
CMI Data Linkages Formative Generic - Attachments Final.docx Attachments 1-3 - CMI Data Linkages Formative Generic Request	IC Document
CMI Data Linkages Formative Generic - Attachments Final.docx Attachments 1-3 - CMI Data Linkages Formative Generic Request	IC Document
NOA - CMI Datat Linkages Formative_2.4.19.pdf NOA - CMI Data Linkages Formative Generic Request	IC Document
NOA - CMI Datat Linkages Formative_2.4.19.pdf NOA - CMI Data Linkages Formative Generic Request	IC Document

IC Title:

Child Maltreatment Incidence Data Linkages

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-Interviews			50514_07_Appendix A_Semi-Structured Interviews_Revised_121118_Clean.docx		No		Paper Only
Other-Questionnaire			50514_07_Appendix B_Questionnaire_Revised_121118_Clean.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: 36

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - CMI Data Linkages Formative Generic Request	CMI Data Linkages Formative Generic - SSA Final.docx	01/06/2021
Supporting Statement B - CMI Data Linkages Formative Generic Request	CMI Data Linkages Formative Generic - SSB Final.docx	01/06/2021
Attachments 1-3 - CMI Data Linkages Formative Generic Request	CMI Data Linkages Formative Generic - Attachments Final.docx	01/06/2021
NOA - CMI Data Linkages Formative Generic Request	NOA - CMI Datat Linkages Formative_2.4.19.pdf	01/06/2021

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