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Foundational Assessment Survey
Evaluation of the Child Welfare Capacity Building Collaborative: Part II
OMB: 0970-0494
IC ID: 224173
OMB.report
HHS/ACF
OMB 0970-0494
ICR 201910-0970-010
IC 224173
( )
Documents and Forms
Document Name
Document Type
1a Foundational Assessment Survey-States_PRA.docx
Other-Survey - States
1b Foundational Assessment Survey-CIPs_PRA.docx
Other-Survey - CIPs
1c Foundational Assessment Survey- Tribes_PRA.docx
Other-Survey - Tribes
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Foundational Assessment Survey
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
Other-Survey - Tribes
1c Foundational Assessment Survey- Tribes_PRA.docx
Yes
Yes
Fillable Fileable
Other-Survey - States
1a Foundational Assessment Survey-States_PRA.docx
Yes
Yes
Fillable Fileable
Other-Survey - CIPs
1b Foundational Assessment Survey-CIPs_PRA.docx
Yes
Yes
Fillable Fileable
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:
277
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
277
0
0
0
0
277
Annual IC Time Burden (Hours)
28
0
0
0
0
28
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.