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Child and Family Services Review On-Site Review
Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews
OMB: 0970-0214
IC ID: 191018
OMB.report
HHS/ACF
OMB 0970-0214
ICR 202109-0970-015
IC 191018
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:
2024-10-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx
Instruction
Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx
Instruction
Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf
Other-Interview Guide
Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf
Other-Interview Guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Child and Family Services Review On-Site Review
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 1355.33(c)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Attachment B - CFSR OSRI R4 April 2021 UPDATED 090121.docx
Yes
Yes
Fillable Printable
Other-Interview Guide
Attachment C - CFSR Stakeholder Interveiw Guide (SIG) R4 - Clean.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
15,418
0
15,418
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.