Information Collection

Child Maltreatment Incidence Data Linkages

IC 245217 under ICR 202105-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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: 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-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	Previously Approved
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.