Information Collection

Child and Family Services Review On-Site Review

IC 191018 under ICR 202109-0970-015 · OMB 0970-0214.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0214 can be found here:

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

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 Agency Discretion
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	15,418	15,418
Annual IC Cost Burden (Dollars)	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.