Information Collection

Child Welfare Information Gateway Preventing Child Abuse and Neglect Targeted Survey

IC 250993 under ICR 202305-0970-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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
12a. Targeted Survey_Preventing CAN_Survey_12.07.2021 FINAL.docx	Other-Survey
12a. Targeted Survey_Preventing CAN_Survey_12.07.2021 FINAL.docx	Other-Survey
Preventing CAN Targeted Survey OMB Application, 12.07.2021 FINAL.docx Fast Track GenIC - CWIG Preventing Child Abuse and Neglect Targeted Survey	IC Document
Preventing CAN Targeted Survey OMB Application, 12.07.2021 FINAL.docx Fast Track GenIC - CWIG Preventing Child Abuse and Neglect Targeted Survey	IC Document

IC Title:

Child Welfare Information Gateway Preventing Child Abuse and Neglect 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			12a. Targeted Survey_Preventing CAN_Survey_12.07.2021 FINAL.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: 250

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	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track GenIC - CWIG Preventing Child Abuse and Neglect Targeted Survey	Preventing CAN Targeted Survey OMB Application, 12.07.2021 FINAL.docx	01/02/2022

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