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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Fathers and Continuous Learning in Child Welfare Project
Agency IC Tracking Number:
OPRE
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-Other-Improvement Team Group Interview
Instrument 01_RevisedtoOPRE_Clean.docx
No
Paper Only
Other-Other-Focus Group with Engagement Strategy Staff
Instrument 02_RevisedtoOPRE_Clean.docx
No
Paper Only
Other-Other-Interview with Child Welfare Agency Leaders
Instrument 03_RevisedtoOPRE_Clean.docx
No
Paper Only
Other-Other-Group Interview of Fathers and Paternal Relatives on the Improvement Team
Instrument 04_RevisedtoOPRE_Clean.docx
No
Paper Only
Other-Other-Improvement Team Information Form
Instrument 05_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Discussion Forum Prompts
Instrument 07_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Learning Session Day 1 Evaluation
Instrument 08_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Action Planning Form
Instrument 09_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Learning Session Overall Evaluation
Instrument 10_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Site Self-Assessment
Instrument 11_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-PDSA Worksheet
Instrument 12_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Implementation Assessment
Instrument 13_RevisedtoOPRE_Clean.docx
Yes
Yes
Fillable Fileable
Other-Other-Elevator Speech Assignment
Instrument 15_DrafttoOPRE.docx
No
Paper Only
Other-Other-Spreading and Sustaining the Work
Instrument 16_DrafttoOPRE.docx
Yes
Yes
Fillable Fileable
Other-Other-Data Collection Planning Worksheet
Instrument 06_09.30.2019.docx
Yes
Yes
Fillable Fileable
Other-Other-Virtual Interview
Instrument 01_Improvement Team- Virtual Interview_CLEAN.docx
No
Paper Only
Other-Other-Virtual Interview
Instrument 02_Engagement Team-Virtual Interview_CLEAN.docx
No
Paper Only
Other-Other-Virtual Interview
Instrument 03_Senior Leader-Virtual Interview_CLEAN.docx
No
Paper Only
Other-Other-Virtual Interview
Instrument 04_ FPR on Improvement Team - Virtual Interview_CLEAN.docx
No
Paper Only
Other-Other-Speed Sharing for Learning Session 2
Instrument 14_DraftoOPRE.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:
126
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
2,449
0
2,449
0
0
0
Annual IC Time Burden (Hours)
1,225
0
1,225
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - Fathers and Continuous Learning in Child Welfare Project
50521 FCL_GenericClr_SSA_09.25_Clean.docx
12/26/2020
Supporting Statement B - Fathers and Continuous Learning in Child Welfare Project
50521 FCL_GenericClr_SSB_09.12_April 2020_CLEAN.docx
12/26/2020
Appendix 1 - Collaborative Change Framework
Appendix 1_Collaborative Change Framework_Final.pdf
12/26/2020
NonSub Change Request - Virtual Interviews at 2 Sites
NonSub Change Request - FCL GenIC_0970-0531_4.8.20.docx
12/26/2020
NonSub Change Request Memo - 3rd Learning Session - September 2020
NonSub Change Request - FCL GenIC_0970-0531_091820.docx
12/26/2020
NOA_FCL
NOA_FCL_10.9.2020.pdf
12/26/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.