Information Collection

Child Welfare Information Gateway CapLEARN Registration Form

IC 258729 under ICR 202403-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.