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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Addressing Substance Use Disorders Among Families Involved with the Child Welfare System: A Cross-Agency Collaboration
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-Informational Interview
AttachmentA_Wave1InformantInterviewProtocol - ASPE substudy.docx
No
Paper Only
Other-Discussion Guide
AttachmentB_DiscussionGuide_Administrator - ASPE substudy.docx
No
Paper Only
Other-Discussion Guide - Partner
AttachmentD_DiscussionGuide_Partner_OtherOrg - ASPE substudy.docx
No
Paper Only
Other-Discussion Guide - Practitioner
AttachmentC_DiscussionGuide_Practitioner - ASPE substudy.docx
No
Paper Only
Other-Verbal Consent
AttachmentE_VerbalConsent - ASPE substudy.docx
No
Paper Only
Other-Guide
CBS Caregiver FG Guide.docx
No
Paper Only
Other-Interview Guide
CBS Caregiver KII.docx
No
Paper Only
Other-Stakeholder Guide
CBS FG_Provider-Stakeholder.docx
No
Paper Only
Other-Consent Document
CBS Informed Consent Parent-Caregiver.docx
No
Paper Only
Other-Consent Document
CBS Informed Consent Parent-Caregiver_3.5.19_Updated 6.4.19.docx
No
Paper Only
Other-Interview Guide
CBS KII_Parent for OMB.docx
No
Paper Only
Other-Interview Guide
CBS KII_Provider-Stakeholder.docx
No
Paper Only
Other-Questionnaire
Demo Info Form_Caregiver Version_3.7.19_Updated 5.24.19.docx
No
Paper Only
Other-Questionnaire
Demo Info Form_Caregiver.docx
No
Paper Only
Other-Questionnaire
Demo Info Form_Parent Version_3.5.19_Updated 5.24.19.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
492
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
492
0
492
0
0
0
Annual IC Time Burden (Hours)
689
0
689
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Cover Sheet
01_Generic_CoverSheet - Addressing SUDs among Families Involved with the Child Welfare System.docx
04/12/2019
Supporting Statement B
03_Supporting Statement B_ASPE-CDC Study - SUDs and Child Welfare.docx
04/12/2019
Supporting Statement A
02_Supporting Statement A_ASPE-CDC Study SUDs and Child Welfare_Response to OMB Questions 6-7-2019.docx
06/07/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.