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Child Welfare Information Gateway's Event Survey
Data Collection Plan for the Evaluation of Child Welfare Information Gateway
OMB: 0970-0518
IC ID: 231821
OMB.report
HHS/ACF
OMB 0970-0518
ICR 201806-0970-003
IC 231821
( )
Documents and Forms
Document Name
Document Type
Form 1
Child Welfare Information Gateway's Event Survey
Form and Instruction
1 Event Survey
Appendix B_CWIG Event Survey.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Child Welfare Information Gateway's Event Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
1
Event Survey
Appendix B_CWIG Event Survey.docx
Yes
Yes
Fillable Printable
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:
900
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
900
0
900
0
0
0
Annual IC Time Burden (Hours)
45
0
45
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.