Instrument 17: Follow-up protocol for child assessments (child burden)

OPRE Study: Variations in Implementation of Quality Interventions (VIQI) [Pilot, Impact, Process Studies]

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0508 can be found here:

Documents and Forms

Document Name Document Type
Instrument 17_CLEAN Follow-up Protocol for Child Assessments.docx Other-Assessment Protocol
Instrument 17_CLEAN Follow-up Protocol for Child Assessments.docx Other-Assessment Protocol

Information Collection (IC) Details

IC Title:	Instrument 17: Follow-up protocol for child assessments (child burden)	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-Assessment Protocol			Instrument 17_CLEAN Follow-up Protocol for Child Assessments.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,400	580	820
Annual IC Time Burden (Hours)	1,260	440	820
Annual IC Cost Burden (Dollars)	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.