Child Welfare Information Gateway CapLEARN Registration Form

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
CapLearn Registration Form_03.06.2023.docx Other-Registration Form
CapLearn Registration Form_03.06.2023.docx Other-Registration Form
CapLearn Registration Form_OMB Application 2.24.23.docx Fast Track Submission Template CapLEARN IC Document
CapLearn Registration Form_OMB Application 2.24.23.docx Fast Track Submission Template CapLEARN IC Document

Information Collection (IC) Details

IC Title:	Child Welfare Information Gateway CapLEARN Registration Form	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Registration Form			CapLearn Registration Form_03.06.2023.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: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Submission Template CapLEARN	CapLearn Registration Form_OMB Application 2.24.23.docx	02/27/2023

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