Information Collection

Child and Family Services Review On-Site Review

IC 191018 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx	Instruction
Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx	Instruction
Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf	Other-Interview Guide
Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf	Other-Interview Guide

IC Title:

Child and Family Services Review On-Site Review

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(c)

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
Instruction			Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx		Yes	Yes	Fillable Printable
Other-Interview Guide			Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

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: 100 %

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)	15,418	15,418
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.