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National Child Welfare Center for Innovation and Advancement Service Request Form

IC 280044 under ICR 202606-0970-001 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Request Form
Other-Request Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Child Welfare Center for Innovation and Advancement Service Request Form CB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Request Form Instrument1_NCWCIA Service Request Form.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

148 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 148 0 0 0 0 148
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Prog Supp GenIC - NCWCIA Service Request Form SSA-Formative for ACF Program Support_Service Request Form_clean.docx 04/21/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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