Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 PIP Matrix	Form and Instruction	New	Available
Form 1 Onsite Review Instrument	Form and Instruction	New	Available
Form 1 Statewide Assessment	Form and Instruction	New	Available
Supporting Statement 2010_jbh v6 09-23-2009.doc	Supporting Statement A	Uploaded 2009-09-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191020	Anti-Discrimination Enforcement Corrective Action Plans		New
191019	Child and Family Services Review Program Improvement Plan	Form and Instruction	New	PIP Matrix
191018	Child and Family Services Review On-Site Review	Form and Instruction	New	Onsite Review Instrument
191017	Child and Family Services Review Statewide Assessment	Form and Instruction	New	Statewide Assessment
10051	Title IV-E Foster Care Eligibility Review Program Improvement Plan		Modified

ICR Details

OMB Control No: 0970-0214	ICR Reference No: 200910-0970-002
Status: Historical Active	Previous ICR Reference No: 200610-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews
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: 01/08/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/16/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved	01/31/2010
Responses	47	0	52
Time Burden (Hours)	22,860	0	21,450
Cost Burden (Dollars)	0	0	429,000

---

Abstract: The information collected is needed: 1) to conduct federal onsite eligibility reviews of Title IV-E of the Social Security Act (the Act), "Federal Payments for Foster Care and Adoption Assistance"; and 2) to monitor state plan requirements under Title IV-B and IV-E of the Act, as required by Federal statute. The resultant information will determine if states are in compliance with state plan requirements and are achieving desired outcomes for children and families, as well as assure eligibility for federall-assisted foster care expenditures. These reviews will not only address compliance with eligibility requirements, but also assist States in enhancing their capacities to serve children and families. The Act also deploys anti-discrimination enforcement provisions which include the execution and completion of corrective action plans when a State is in violation of the Act.

---

Authorizing Statute(s): US Code: 42 USC 1320a-1a Name of Law: Reviews of Child and Family Services Program
  

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:
	74 FR 21689	05/08/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 46772	09/11/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Anti-Discrimination Enforcement Corrective Action Plans
Child and Family Services Review On-Site Review	1	Onsite Review Instrument
Child and Family Services Review Program Improvement Plan	1	PIP Matrix
Child and Family Services Review Statewide Assessment	1	Statewide Assessment
Title IV-E Foster Care Eligibility Review Program Improvement Plan

---

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	47	52	0	0	-5	0
Annual Time Burden (Hours)	22,860	21,450	0	0	1,410	0
Annual Cost Burden (Dollars)	0	429,000	0	0	-429,000	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:

---

Annual Cost to Federal Government: $11,224,341

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)? No

Is this ICR related to the Pandemic Response? Uncollected

---

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: 10/16/2009

---