NOA - Initial Approval and GenICs

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

04/16/2021

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Perryn Ashmore

FOR CLEARANCE OFFICER:

Terry Clark

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
01/04/2021
ACTION REQUESTED:

New collection (Request for a new OMB Control Number)

IC TITLE:
ICR REFERENCE NUMBER:

202012-0970-017

AGENCY ICR TRACKING NUMBER:
TITLE:

Generic Clearance for the Comprehensive Child Welfare Information System (CCWIS) Review and
Technical Assistance Process
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER:

0970-0568

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 04/30/2024

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

0

0

0

880

9,900

909,612

0

0

0

880

9,900

909,612

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:
OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

CCWIS SelfAssessment – Intake
CCWIS SelfAssessment –
Investigation
CCWIS SelfAssessment – Case
Management
CCWIS SelfAssessment – Adoption
CCWIS SelfAssessment – Foster
Care and Service
Provider Management
CCWIS SelfAssessment –
Administration
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
550 / 0 / 55
550 / 0 / 55
550 / 0 / 55
550 / 0 / 55
550 / 0 / 55

550 / 0 / 55
3,300