National Clearinghouse on Child Abuse and Neglect Information (CAN) and NAIC

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Customer Satisfaction - Ind / Households	Form and Instruction	Modified	Available
Form 1 Focus Group - State local	Form and Instruction	New	Available
Form 1 Focus Group - Private Sector	Form and Instruction	New	Available
Form 1 Comment Card - State, Local and Tribe	Form and Instruction	New	Available
Form 1 Comment Card - Private Sector	Form and Instruction	New	Available
Form 1 Publication Survey - State, Local	Form and Instruction	New	Available
Form 1 Publication Survey - Private Sector	Form and Instruction	New	Available
Form 1 Public Survey - Ind / Households	Form and Instruction	New	Available
Form 1 Customer Satisfaction - Private Sector	Form and Instruction	New	Available
Appendix A_Executive Order.pdf	Supplementary Document	Uploaded 2008-03-06	Available
Supporting_Statement_Gateway[1].doc	Supporting Statement A	Uploaded 2008-03-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43726	Customer Satisfaction - Ind / Households	Form and Instruction	Modified
184345	Focus Group - State local	Form and Instruction	New
184344	Focus Group - Private Sector	Form and Instruction	New
184343	Comment Card - State, Local and Tribe	Form and Instruction	New
184342	Comment Card - Private Sector	Form and Instruction	New
184341	Publication Survey - State, Local	Form and Instruction	New
184340	Publication Survey - Private Sector	Form and Instruction	New
184339	Public Survey - Ind / Households	Form and Instruction	New
184338	Customer Satisfaction - State, Local, or Tribal	Other-web	New
184337	Customer Satisfaction - Private Sector	Form and Instruction	New

ICR Details

OMB Control No: 0970-0303	ICR Reference No: 200804-0970-001
Status: Historical Active	Previous ICR Reference No: 200605-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: National Clearinghouse on Child Abuse and Neglect Information (CAN) and NAIC
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/08/2008
	Date Received in OIRA: 04/03/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	07/31/2009
Responses	2,153	0	1,498
Time Burden (Hours)	175	0	177
Cost Burden (Dollars)	0	0	0

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Abstract: In response to Executive Order 12862 issued on September 11, 1993, a call for a customer-driven government, the Clearinghouses' Evaluation plan was designed to better understand the kind and quality of services Clearinghouse customers want and their level of satisfaction with existing services. Through web, phone, email, and print surveys, the Clearinghouses# intended to improve the quality of their products and services, in turn allowing limited resources to be targeted to improving those components that have the most impact on customer satisfaction.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Surveys
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 63911	11/13/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 7292	02/07/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Comment Card - Private Sector	1	Comment Card - Private
Comment Card - State, Local and Tribe	1	Comment Card - State, Local & Tribe
Customer Satisfaction - Private Sector	1	Customer Satisfaction -Private Sector
Customer Satisfaction - Ind / Households	1	Cust Individuals
Customer Satisfaction - State, Local, or Tribal
Public Survey - Ind / Households	1	Public Survey - ind / House Hold
Publication Survey - Private Sector	1	Pub. Private
Publication Survey - State, Local	1	Pub. Survey - State, Local Tribes
Focus Group - Private Sector	1	Focus - Private
Focus Group - State local	1	Focus Group - State Level

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ICR Summary of Burden

table that charts list 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	2,153	1,498	0	655	0	0
Annual Time Burden (Hours)	175	177	0	-2	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $60,400

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 04/02/2008

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