View Information Collection (IC)

View Information Collection (IC)

IC Title:	Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			CFSR On-site review instrument.doc		No	No	Paper Only
Other-Other			CFSR On-site Stakeholders Interview Guide.doc		No	No	Paper Only
Other-Other			CFSR Self-assessment Form w Built-in Instructions.doc		No	No	Paper Only
Other-Other			CFSR Standard PIP Format.doc		No	No	Paper Only

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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	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	52	0	10	0	0	42
Annual IC Time Burden (Hours)	21,450	0	7,378	0	0	14,072
Annual IC Cost Burden (Dollars)	429,000	0	429,000	0	0	0

Documents for IC

Title	Document	Date Uploaded
passback	passback.pdf	01/09/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.