Information Collection

State child welfare records: data file submission - MIHOPE-3G

IC 261070 under ICR 202307-0970-003 · OMB 0970-0402.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 3_Child Welfare Records Request From Existing Data Provider.docx	Other-Data File Submission
Instrument 3_Child Welfare Records Request From Existing Data Provider.docx	Other-Data File Submission
Instrument 4_Child Welfare Records Request From New Data Provider.docx	Other-Data File Submission
Instrument 4_Child Welfare Records Request From New Data Provider.docx	Other-Data File Submission

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Data File Submission			Instrument 3_Child Welfare Records Request From Existing Data Provider.docx		Yes	Yes	Fillable Fileable
Other-Data File Submission			Instrument 4_Child Welfare Records Request From New Data Provider.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: 11

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	165	165
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.