Reporting of Serious Injuries and Death

Child Care and Development Fund (CCDF) Consumer Education Website and Report of Serious Injuries and Death

Documents and Forms

Document Name Document Type
Instrument 1 - CCDF Consumer Education Website and Reports of Serious Injuries and Death Instructions Final 2023.docx Instruction
Instrument 1 - CCDF Consumer Education Website and Reports of Serious Injuries and Death Instructions Final 2023.docx Instruction

Information Collection (IC) Details

IC Title:	Reporting of Serious Injuries and Death	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 98

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instrument 1 - CCDF Consumer Education Website and Reports of Serious Injuries and Death Instructions Final 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: 10,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.