Child Welfare Virtual Conference Registration Form

Center for States Evaluation Ancillary Data Collection

Documents and Forms

Document Name Document Type
2- Child Welfare Virtual Expo Registration Form_fnl.docx Other-Registration Form
2- Child Welfare Virtual Expo Registration Form_fnl.docx Other-Registration Form

Information Collection (IC) Details

IC Title:	Child Welfare Virtual Conference Registration Form	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-Registration Form			2- Child Welfare Virtual Expo Registration Form_fnl.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	2,000	1,000
Annual IC Time Burden (Hours)	150	120	30
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.