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[NICPC] Child Abuse and Neglect Prevention Message Development 0920-1154-24BQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-24BQ Att 1. CAN Survey and Consent Att 1. CAN Survey and Consent.docx Yes Yes Fillable Fileable
Form and Instruction 0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener 11.21.23 Att 3. CAN Focus Group Eligible Participant Screener 11.21.23.docx Yes Yes Fillable Fileable
Form and Instruction 0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener rev Att 3. CAN Focus Group Eligible Participant Screener.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

189 0
   
Individuals or Households
 
   100 %

  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 189 0 189 0 0 0
Annual IC Time Burden (Hours) 56 0 56 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A (0920-1154)_CAN Supporting Statement A (0920-1154)_CAN.docx 12/20/2023
Supporting Statement B (0920-1154)_CAN Supporting Statement B (0920-1154)_CAN.docx 12/20/2023
Att 9. STARS Determination_ACEs and CAN Message Testing Att 9. STARS Determination_ACEs and CAN Message Testing.docx 12/20/2023
Survey Screenshots Att 2. CAN Survey Screenshots.pdf 12/20/2023
Att 4. CAN Focus Group Guide and Consent_Consumers Att 4. CAN Focus Group Guide and Consent_Consumers.docx 12/20/2023
Att 5. CAN Focus Group Guide and Consent_Parents Att 5. CAN Focus Group Guide and Consent_Parents.docx 12/20/2023
Att 6. CAN Focus Group Guide and Consent_DirectServiceProviders Att 6. CAN Focus Group Guide and Consent_DirectServiceProviders.docx 12/20/2023
Att 7. CAN Partner Interview Guide and Consent Att 7. CAN Partner Interview Guide and Consent.docx 12/20/2023
Att 8. Privacy Impact Assessment Att 8. Privacy Impact Assessment.pdf 12/20/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.