Information Collection

Child Welfare Information Gateway Master Targeted Survey

IC 248961 under ICR 202112-0970-010 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CWIG Master Targeted Survey_final OMB_with edits.docx	Other-Survey
CWIG Master Targeted Survey_final OMB_with edits.docx	Other-Survey
CWIG Master Targeted Survey OMB Application final_with edits.docx Fast Track Submission Form - CWIG Master Targeted Survey	IC Document
CWIG Master Targeted Survey OMB Application final_with edits.docx Fast Track Submission Form - CWIG Master Targeted Survey	IC Document

IC Title:

Child Welfare Information Gateway Master Targeted Survey

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-Survey			CWIG Master Targeted Survey_final OMB_with edits.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: 750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form - CWIG Master Targeted Survey	CWIG Master Targeted Survey OMB Application final_with edits.docx	08/20/2021

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