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Federal forms, ICRs, and supporting documents

Information Collection

Instrument 2: Child roster form (from EHS staff)

IC 227597 under ICR 202203-0970-002 · OMB 0970-0354.

Documents and Forms
Document Name
Document Type
Other-Roster Form
Other-Roster Form
Information Collection (IC) Details

View Information Collection (IC)

Instrument 2: Child roster form (from EHS staff)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Roster Form A2. Baby FACES 2022 Child Roster_for OMB-clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

252 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 126 0 0 0 0 126
Annual IC Time Burden (Hours) 42 0 0 0 0 42
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.