Information Collection

Child-Level Event (Form A-9A)

IC 241073 under ICR 202407-0970-009 · OMB 0970-0547.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0547 can be found here:

Documents and Forms

Document Name Document Type
Form A-9A Child-Level Event (Form A-9A) Form
A-9A Child-Level Event Child-Level Event (Form A-9A).pdf Form
A-9A Child-Level Event Child-Level Event (Form A-9A).pdf Form
Child-Level Event Definitions.docx Child-Level Event Definitions Document IC Document
Child-Level Event Definitions.docx Child-Level Event Definitions Document IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Child-Level Event (Form A-9A)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	A-9A	Child-Level Event	Child-Level Event (Form A-9A).pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 276	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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	44,160	44,160
Annual IC Time Burden (Hours)	7,360	7,360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Child-Level Event Definitions Document	Child-Level Event Definitions.docx	06/29/2023

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