Information Collection

Comprehensive Child Welfare Information System (CCWIS) Review and Technical Assistance Process Self-Assessment Tool: Design Requirements

IC 247060 under ICR 202311-0970-010 · OMB 0970-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0568 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Draft CCWIS Design Self-Assessment Tool - 2021-04-29.docx	Other-Self-Assessment Tool
Draft CCWIS Design Self-Assessment Tool - 2021-04-29.docx	Other-Self-Assessment Tool
CCWIS GenIC Submission Form - Design Self-Assessment Tool_0970-0568.docx CCWIS GenIC Submission Form - Design Self-Assessment Tool	IC Document
CCWIS GenIC Submission Form - Design Self-Assessment Tool_0970-0568.docx CCWIS GenIC Submission Form - Design Self-Assessment Tool	IC Document
CCWIS Design Requirements Self-Assessment Scoring Sheet 2021-04-26.xlsx CCWIS Design Requirements Self-Assessment Scoring Sheet	IC Document
CCWIS Design Requirements Self-Assessment Scoring Sheet 2021-04-26.xlsx CCWIS Design Requirements Self-Assessment Scoring Sheet	IC Document

IC Title:

Comprehensive Child Welfare Information System (CCWIS) Review and Technical Assistance Process Self-Assessment Tool: Design Requirements

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-Self-Assessment Tool			Draft CCWIS Design Self-Assessment Tool - 2021-04-29.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: 55

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	1,320	1,320
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CCWIS GenIC Submission Form - Design Self-Assessment Tool	CCWIS GenIC Submission Form - Design Self-Assessment Tool_0970-0568.docx	04/29/2021
CCWIS Design Requirements Self-Assessment Scoring Sheet	CCWIS Design Requirements Self-Assessment Scoring Sheet 2021-04-26.xlsx	04/29/2021

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