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SACWIS Review Guide
Statewide Automated Child Welfare Information System (SACWIS) Assessment Review Guide
OMB: 0970-0159
IC ID: 197829
OMB.report
HHS/ACF
OMB 0970-0159
ICR 201105-0970-003
IC 197829
( )
Documents and Forms
Document Name
Document Type
SACWIS_Review_Guide 2011_6_17_11.doc
Instruction
SACWIS Review Guide Appendices 2011.doc
appendicies
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SACWIS Review Guide
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
SACWIS_Review_Guide 2011_6_17_11.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
3
0
0
3
0
0
Annual IC Time Burden (Hours)
750
0
150
600
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
appendicies
SACWIS Review Guide Appendices 2011.doc
05/18/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.