View Information Collection (IC)

View Information Collection (IC)

Instrument 2: Child roster form (from EHS staff)
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Roster Form Attachment 2. Baby FACES 2020 Child Roster Form from EHS staff_for OMB_J....docx Yes Yes Fillable Fileable

Community and Social Services Social Services


252 0
Private Sector Businesses or other for-profits, Not-for-profit institutions
   0 %

  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 126 0 -168 0 0 294
Annual IC Time Burden (Hours) 42 0 -55 0 0 97
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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