Information Collection

Child and Family Services Review Statewide Assessment

IC 191017 under ICR 202109-0970-015 · OMB 0970-0214.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Child and Family Services Review Statewide Assessment	Form and Instruction
1 Statewide Assessment Attachment A - CFSR_SA_R4_4-2021 30 Day FRN.docx	Form and Instruction
1 Statewide Assessment Attachment A - CFSR_SA_R4_4-2021 30 Day FRN.docx	Form and Instruction

IC Title:

Child and Family Services Review Statewide Assessment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1355.33(b)

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
Form and Instruction	1	Statewide Assessment	Attachment A - CFSR_SA_R4_4-2021 30 Day FRN.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	1,560	1,560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.