Cross-site Evaluation of the Children's Bureau's Child Welfare Technical Assistance Implementation Centers and National Child Welfare Resource Centers

Forms and Documents

Document Name	Status
Form 1 One Net Form: Implementation Project Application Form Form and Instruction	New
Form 1 One Net Form: Implementation Project T/TA Activity Form Form and Instruction	New
Form 1 OneNet Form: Implementation Project Assessment & Work Plan Form Form and Instruction	New
Form 1 One Net Form: Implementation Project Monthly Report Form Form and Instruction	New
Form 1 OneNet Form: T/TA Activity Form Form and Instruction	New
Form 1 One Net Form: T/TA Request Form Form and Instruction	New
Form 1 One Net Form: T/TA Assessment & Work Plan Form Form and Instruction	New
Form 1 OneNet Form: General T/TA Event Form Form and Instruction	New
Form 1 Web-based Network Survey Form and Instruction	New
Form 1 Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	New
Form 1 Agency Results Survey Form and Instruction	New
Form 1 Implementation Project T/TA Activity Form and Instruction	Removed
Form 1 Implementation Project Information Form and Instruction	Removed
Form 1 Implementation Project Monthly Report Form and Instruction	Removed
Form 1 NRC T/TA Activity Form and Instruction	Removed
Form 1 NRC T/TA Close-Out Form and Instruction	Removed
Form 1 NRC T/TA Work Plan Form and Instruction	Removed
Form 1 General T/TA Event Form and Instruction	Removed
Form 1 Web-based Network Survey Form and Instruction	Removed
Form 1 Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	Removed
Form 1 Agency Results Survey Form and Instruction	Removed
Section B-Supporting Statement f ro Cross-Site Evaluation of CB Child Welfare T-TA Centers.docx Supporting Statement B	2013-02-07
Section A Extension 2013 SUPPORTING STATEMENT1.29.13.doc Supporting Statement A	2013-02-07

IC Document Collections

IC ID	Document Title	Status
205805	One Net Form: Implementation Project Application Form Form and Instruction	New
205804	One Net Form: Implementation Project T/TA Activity Form Form and Instruction	New
205803	OneNet Form: Implementation Project Assessment & Work Plan Form Form and Instruction	New
205802	One Net Form: Implementation Project Monthly Report Form Form and Instruction	New
205801	OneNet Form: T/TA Activity Form Form and Instruction	New
205800	One Net Form: T/TA Request Form Form and Instruction	New
205799	One Net Form: T/TA Assessment & Work Plan Form Form and Instruction	New
205798	OneNet Form: General T/TA Event Form Form and Instruction	New
205797	Web-based Network Survey Form and Instruction	New
205796	Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	New
205795	Agency Results Survey Form and Instruction	New
192098	Implementation Project T/TA Activity Form and Instruction	Removed
192097	Implementation Project Information Form and Instruction	Removed
192096	Implementation Project Monthly Report Form and Instruction	Removed
192095	NRC T/TA Activity Form and Instruction	Removed
192094	NRC T/TA Close-Out Form and Instruction	Removed
192093	NRC T/TA Work Plan Form and Instruction	Removed
192092	General T/TA Event Form and Instruction	Removed
192091	Web-based Network Survey Form and Instruction	Removed
192090	Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	Removed
192089	Agency Results Survey Form and Instruction	Removed

ICR Details

OMB Control No: 0970-0377	ICR Reference No: 201302-0970-004
Status: Historical Active	Previous ICR Reference No: 201002-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: 18673
Title: Cross-site Evaluation of the Children's Bureau's Child Welfare Technical Assistance Implementation Centers and National Child Welfare Resource Centers
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: 05/15/2013
	Date Received in OIRA: 02/14/2013
Terms of Clearance: OMB appreciates that ACF understands that the results of this collection will not be able to be used to establish causality between the practices of ACF grantees and observed State and Tribal outcomes. Further, findings from the purposive sample of Tribal child welfare agencies will not be generalizable beyond the survey respondents. As such, ACF will be sure to include appropriate caveats when reporting all results.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	06/30/2013
Responses	6,201	0	9,539
Time Burden (Hours)	1,869	0	2,136
Cost Burden (Dollars)	0	0	0

---

Abstract: The proposed information collection is necessary to track, monitor, and evaluate the activities of Federally-funded training and technical assistance providers that deliver services to State, local, Tribal, and other publicly administered or publicly supported child welfare agencies and family and juvenile courts. The proposed data collection instruments for review are: the Agency Results Survey, T/TA Activity Survey, Network Web-Based Survey, and seven forms that are part of the OneNet data system.

---

Authorizing Statute(s): US Code: 42 USC 5106 Name of Law: Grants to States
  

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:
	77 FR 63317	10/16/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 8149	02/05/2013
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
OneNet Form: General T/TA Event Form	1	OneNet Form-General TTA Event Form
One Net Form: T/TA Assessment & Work Plan Form	1	OneNet Form: Implementation Project Assessment and Work Plan Form
One Net Form: T/TA Request Form	1	T/TA Request Form
OneNet Form: T/TA Activity Form	1	T/TA Activity Form
One Net Form: Implementation Project Monthly Report Form	1	OneNet: Implementation Project Monthly Report Form
OneNet Form: Implementation Project Assessment & Work Plan Form	1	OneNet: Implementation Project Assessment and Work Plan Form
One Net Form: Implementation Project T/TA Activity Form	1	OneNet: TTA Activity Form
One Net Form: Implementation Project Application Form	1	One Net: Implementation Project Application Form
Agency Results Survey	1	Agency Results Survey
Training and Technical Assistance (T/TA) Activity Survey	1	Training and Technical Assistance Activity Survey
Web-based Network Survey	1	Web-based Network Survey
General T/TA Event	1	General T/TA Event
NRC T/TA Work Plan	1	NRC T/TA Work Plan
NRC T/TA Close-Out	1	NRC T/TA Close Out
NRC T/TA Activity	1	NRC T/TA Activity
Implementation Project Monthly Report	1	Implementation Project Monthly Report
Implementation Project Information	1	Implementation Project Information
Implementation Project T/TA Activity	1	Implementation Project T/TA Activity
Agency Results Survey	1	Agency Results Survey
Training and Technical Assistance (T/TA) Activity Survey	1, 1, 1	TTA Activity Survey Introduction ,   TTA Activity Survey (Respondent Type 1 ,   TTA Activity Survey (Respondent Type 2
Web-based Network Survey	1	Web Based 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	6,201	9,539	0	-3,338	0	0
Annual Time Burden (Hours)	1,869	2,136	0	-267	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: Overall reduction in respondent time burden may principally be attributed to more accurate projections about service delivery frequency and resulting data entry after 2.5 years of experience. Increases in data entry efficiency, reductions in respondent numbers, and other factors contributed to more minor changes. The role of both program changes and adjustments on decreases or increases in burden by instrument are described in the Supporting Statement.

---

Annual Cost to Federal Government: $114,581

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

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: 02/14/2013

---