Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW)

Cross-Site Accountability Assessment of the Residential Treatment for Pregnant and Postpartum Women and Their Minor Children Program (PPW)

Documents and Forms

Document Name Document Type
Form Attachment F - Ins Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW) Form and Instruction
Attachment F - Ins Attachment F - Instruments PPW - Instruments.zip Form and Instruction
Other-PPW-Docs.zip Attachments A-E, G-I IC Document

Information Collection (IC) Details

IC Title:	Cross-Site Accountability Assessment of the Residential Treatment for Prgnant and Postpartum Women and Their Minor Children Program (PPW)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment F - Instruments	Attachment F - Instruments	PPW - Instruments.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,510	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	57,798	28,899	28,899
Annual IC Time Burden (Hours)	19,684	9,842	9,842
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments A-E, G-I	Other-PPW-Docs.zip	09/12/2007

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