View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0970-0484
ICR Reference No:
201908-0970-002
Status:
Historical Active
Previous ICR Reference No:
201602-0970-011
Agency/Subagency:
HHS/ACF
Agency Tracking No:
ACYF
Title:
Evaluation of the Child Welfare Capacity Building Collaborative
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/05/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/19/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2022
36 Months From Approved
11/30/2019
Responses
10,506
0
11,258
Time Burden (Hours)
1,512
0
1,784
Cost Burden (Dollars)
0
0
0
Abstract:
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), the Evaluation of the Child Welfare Capacity Building Collaborative seeks approval for the information collection to track, monitor, and evaluate the activities 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. This information collection request is for approval to extend use of previously approved data collection instruments for the first part of data collection for the evaluation of the Child Welfare Capacity Building Collaborative. The instruments under this information collection for which we seek approval were submitted and approved under OMB #0970-0484 in August 2016. Under this supporting statement for approval, four instruments were removed from the original approval (Tribal Organizational Assessment Interviews: Caseworker Interview; Community Provider Interview; Community Member/Elder Interview; Family Interview) because these instruments are not required collections by the federal government. No changes were made to the other instruments for which we seek approval to continue use.
Authorizing Statute(s):
US Code:
42 USC IV-B and IV-E
Name of Law: Social Security Act
PL:
Pub.L. 111 - 510 5106
Name of Law: Child Abuse Prevention and Treatment Act Reauthorization Act of 2010
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:
84 FR 17168
04/24/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 42923
08/19/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
20
IC Title
Form No.
Form Name
Annual Collaboration Survey
Assessment & Capacity Building Plan Satisfaction Survey
CIP Annual Meeting Survey
Center for Courts CQI Workshops
Center for States Brief Tailored Services Survey
Center for States Constituency Groups Survey
Center for States Information and Referral Survey
Center for States Intensive Projects Survey
Center for Tribes Contact Form
Center for Tribes Demographic Survey
Center for Tribes Needs and Fit Exploration Tool Phase 1
Center for Tribes Needs and Fit Exploration Tool Phase 2
Leadership Interview - CIPS
Leadership Interview - States and Territories
Leadership Interview - Tribes
Leadership Interview Part II - Tribes
Learning Experiences Satisfaction Survey (single)
Learning Experiences Survey (intensive)
Tribal Organizational Assessessment Community Provider Interview
1
Tribal Organizational Assessment Community Provider Interview
Tribal Organizational Assessment Caseworker Interview
1
Tribal Organizational Assessment Caseworker Interview
Tribal Organizational Assessment Family Interview
1
Tribal Organizational Assessment Family Interview
Tribal Organizationall Assessment Community Member/Elder
1
Tribal Organizational Assessment Community Member-Elder Interview
Webinars, Events, and In-Person Meetings Satisfaction Survey
Webpages and Products Satisfaction Survey
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
10,506
11,258
0
-752
0
0
Annual Time Burden (Hours)
1,512
1,784
0
-272
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
No significant changes were made to the Cross-Center or Center-specific instruments for which we seek an extension of approval. Four instruments were removed from the original approval (Tribal Organizational Assessment Interviews: Caseworker Interview; Community Provider Interview; Community Member/Elder Interview; Family Interview). The number of respondents to a few instruments was updated to reflect the estimate for the next three years, and the number of responses per respondent was corrected for a few instruments. These changes impacted the overall change in burden.
Annual Cost to Federal Government:
$36,353
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
08/19/2019
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.