Information Collection

Instrument 8: Baseline parent/guardian information form

IC 231361 under ICR 202104-0970-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instrument 8_CLEAN Baseline Parent or Guardian Information Form.docx Other-Info Form
Instrument 8_CLEAN Baseline Parent or Guardian Information Form.docx Other-Info Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 8: Baseline parent/guardian information form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Info Form			Instrument 8_CLEAN Baseline Parent or Guardian Information Form.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: 6,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,098	-758	2,856
Annual IC Time Burden (Hours)	210	-361	571
Annual IC Cost Burden (Dollars)	0	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.