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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Hennepin County (child welfare) – Phase 3 Data Collection
Agency IC Tracking Number:
IC Status:
New
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-Interview/Focus Group
BIAS NG HC OMB_Instrument 1_Family.docx
Yes
Yes
Printable Only
Other-Interview/Focus Group
BIAS NG HC OMB_Instrument 2_Staff.docx
Yes
Yes
Fillable Fileable
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:
150
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
150
0
150
0
0
0
Annual IC Time Burden (Hours)
150
0
150
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - BIAS-NG GenIC: Hennepin County (child welfare)
OMB_BIAS NG HC_SSA_4.4.22_clean.docx
06/07/2022
SSB - BIAS-NG GenIC: Hennepin County (child welfare)
OMB_BIAS NG HC_SSB_4_6_22_clean.docx
06/07/2022
NOA - BIAS-NG GenIC: Hennepin County (child welfare)
NOA_BIAS NG GenIC_Hennepin Cnty CW_0970-0502_5.13.22.pdf
06/07/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.