View Information Collection Request (ICR) Package

OMB Control No: 0970-0501	ICR Reference No: 201705-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: Center for States Evaluation Ancillary Data Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/16/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/11/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved
Responses	7,431	0	0
Time Burden (Hours)	672	0	0
Cost Burden (Dollars)	0	0	0

Abstract: Center for States Evaluation Ancillary Data Collection: Information Collection Request Overview This ICR Summary Form covers two ICs: one from individuals and one from state and territorial governments. The estimated annual totals for the entire Information Collection Request are: $53,146.27 (Government Cost); 7,431 responses; 671.06 respondent burden hours; and $14,622.40 (Cost to Respondents). The Evaluation of the Child Welfare Capacity Building Collaborative is sponsored by the Children’s Bureau (CB) in the Administration on Children, Youth and Families (ACYF), Administration for Youth and Families (ACF), U.S. Department of Health and Human Services (DHHS) which seeks approval for the data collection instruments and procedures described herein. The proposed information collection is necessary to facilitate, track, monitor, and evaluate the activities of the Center for States, part of the Capacity Building Collaborative. The Collaborative includes three Federally funded centers (Center for States, Center for Tribes, and Center for Courts) that deliver national child welfare expertise and evidence-informed training and technical assistance services to State, Tribal, and Territorial public child welfare agencies and Court Improvement Programs (CIPs). The CB funded Centers’ collective goal is to build the capacities of State, local, Tribal child welfare systems to successfully undertake practice, organizational, and systemic reforms necessary to implement federal policies, meet federal standards, and achieve better outcomes for the children, youth and families they serve. Agencies that receive formula funding through the Child Abuse Prevention and Treatment Act, and titles IV-B and IV-E of the Social Security Act are eligible for technical assistance from the Children’s Bureau to support implementation of these programs, compliance with federal requirements, and improvement of outcomes. Data collected through this proposed information collection will be used to improve the development and design of the Center for States’ services, and evaluation findings with be shared with other providers and service recipients to increase knowledge about technical assistance strategies and approaches. Evaluation findings will also inform future decision making about the service delivery structure and federal resource allocation. The Center for States’ services are evaluated by both Center-specific evaluations and a Cross-Center Evaluation. The Center-specific evaluations are designed to collect data on Center-specific processes and outcomes. The Cross-Center Evaluation is designed to respond to a set of cross-cutting evaluation questions posed by the Children’s Bureau. Data sources for this “Center for States Evaluation Ancillary Data Collection” information collection include (1) Instruments to assess the quality and effectiveness of a Child Welfare Virtual Conference; (2) Instruments to assess state experience with Center tailored service delivery in relation to implementation of the Center’s evidence-informed Capacity Building Approach; and (3) questions asked as part of the Center for States Annual Assessment process. This OMB package represents the third in a series of submissions for the Capacity Building Collaborative and these instruments represent Center for States data collection that is necessary to supplement the evaluation activities being conducted by the Collaborative and the Cross-Center evaluation.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 229	11/29/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 20895	05/04/2017
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	7,431	7,431
Annual Time Burden (Hours)	672	672
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New ICR

Annual Cost to Federal Government: $53,146

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Robert Sargis 2026907275

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