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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 One Net: Implementation Project Application Form	Form and Instruction	New	Available
Form 1 OneNet: TTA Activity Form	Form and Instruction	New	Repair queued
Form 1 OneNet: Implementation Project Assessment and Work Plan Form	Form and Instruction	New	Available
Form 1 OneNet: Implementation Project Monthly Report Form	Form and Instruction	New	Repair queued
Form 1 T/TA Activity Form	Form and Instruction	New	Available
Form 1 T/TA Request Form	Form and Instruction	New	Available
Form 1 OneNet Form: Implementation Project Assessment and Work Plan Form	Form and Instruction	New	Repair queued
Form 1 OneNet Form-General TTA Event Form	Form and Instruction	New	Available
Form 1 Web Based Survey	Form and Instruction	New	Available
Form 1 TTA Activity Survey (Respondent Type 2	Form and Instruction	New	Available
Form 1 TTA Activity Survey (Respondent Type 1	Form and Instruction	New	Available
Form 1 TTA Activity Survey Introduction	Form and Instruction	New	Available
Form 1 Agency Results Survey	Form and Instruction	New	Available
Form 1 Implementation Project T/TA Activity	Form and Instruction	Removed	Available
Form 1 Implementation Project Information	Form and Instruction	Removed	Repair queued
Form 1 Implementation Project Monthly Report	Form and Instruction	Removed	Available
Form 1 NRC T/TA Activity	Form and Instruction	Removed	Available
Form 1 NRC T/TA Close Out	Form and Instruction	Removed	Available
Form 1 NRC T/TA Work Plan	Form and Instruction	Removed	Available
Form 1 General T/TA Event	Form and Instruction	Removed	Repair queued
Form 1 Web-based Network Survey	Form and Instruction	Removed	Repair queued
Form 1 Training and Technical Assistance Activity Survey	Form and Instruction	Removed	Available
Form 1 Agency Results Survey	Form and Instruction	Removed	Available
Section B-Supporting Statement f ro Cross-Site Evaluation of CB Child Welfare T-TA Centers.docx	Supporting Statement B	Uploaded 2013-02-07	Available
Section A Extension 2013 SUPPORTING STATEMENT1.29.13.doc	Supporting Statement A	Uploaded 2013-02-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205805	One Net Form: Implementation Project Application Form	Form and Instruction	New	One Net: Implementation Project Application Form
205804	One Net Form: Implementation Project T/TA Activity Form	Form and Instruction	New	OneNet: TTA Activity Form
205803	OneNet Form: Implementation Project Assessment & Work Plan Form	Form and Instruction	New	OneNet: Implementation Project Assessment and Work Plan Form
205802	One Net Form: Implementation Project Monthly Report Form	Form and Instruction	New	OneNet: Implementation Project Monthly Report Form
205801	OneNet Form: T/TA Activity Form	Form and Instruction	New	T/TA Activity Form
205800	One Net Form: T/TA Request Form	Form and Instruction	New	T/TA Request Form
205799	One Net Form: T/TA Assessment & Work Plan Form	Form and Instruction	New	OneNet Form: Implementation Project Assessment and Work Plan Form
205798	OneNet Form: General T/TA Event Form	Form and Instruction	New	OneNet Form-General TTA Event Form
205797	Web-based Network Survey	Form and Instruction	New	Web Based Survey
205796	Training and Technical Assistance (T/TA) Activity Survey	Form and Instruction	New	TTA Activity Survey (Respondent Type 2
205796	Training and Technical Assistance (T/TA) Activity Survey	Form and Instruction	New	TTA Activity Survey (Respondent Type 1
205796	Training and Technical Assistance (T/TA) Activity Survey	Form and Instruction	New	TTA Activity Survey Introduction
205795	Agency Results Survey	Form and Instruction	New	Agency Results Survey
192098	Implementation Project T/TA Activity	Form and Instruction	Removed	Implementation Project T/TA Activity
192097	Implementation Project Information	Form and Instruction	Removed	Implementation Project Information
192096	Implementation Project Monthly Report	Form and Instruction	Removed	Implementation Project Monthly Report
192095	NRC T/TA Activity	Form and Instruction	Removed	NRC T/TA Activity
192094	NRC T/TA Close-Out	Form and Instruction	Removed	NRC T/TA Close Out
192093	NRC T/TA Work Plan	Form and Instruction	Removed	NRC T/TA Work Plan
192092	General T/TA Event	Form and Instruction	Removed	General T/TA Event
192091	Web-based Network Survey	Form and Instruction	Removed	Web-based Network Survey
192090	Training and Technical Assistance (T/TA) Activity Survey	Form and Instruction	Removed	Training and Technical Assistance Activity Survey
192089	Agency Results Survey	Form and Instruction	Removed	Agency Results Survey

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
Retrieve Notice of Action (NOA)	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.

table that charts list comparision

	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

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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.

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

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:
	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

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

table that charts list of burden

IC Title	Form No.	Form Name
Agency Results Survey	1	Agency Results Survey
Agency Results Survey	1	Agency Results Survey
General T/TA Event	1	General T/TA Event
Implementation Project Information	1	Implementation Project Information
Implementation Project Monthly Report	1	Implementation Project Monthly Report
Implementation Project T/TA Activity	1	Implementation Project T/TA Activity
NRC T/TA Activity	1	NRC T/TA Activity
NRC T/TA Close-Out	1	NRC T/TA Close Out
NRC T/TA Work Plan	1	NRC T/TA Work Plan
One Net Form: Implementation Project Application Form	1	One Net: Implementation Project Application Form
One Net Form: Implementation Project Monthly Report Form	1	OneNet: Implementation Project Monthly Report Form
One Net Form: Implementation Project T/TA Activity Form	1	OneNet: TTA Activity 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: General T/TA Event Form	1	OneNet Form-General TTA Event Form
OneNet Form: Implementation Project Assessment & Work Plan Form	1	OneNet: Implementation Project Assessment and Work Plan Form
OneNet Form: T/TA Activity Form	1	T/TA Activity Form
Training and Technical Assistance (T/TA) Activity Survey	1	Training and Technical Assistance Activity 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
Web-based Network Survey	1	Web-based Network Survey

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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	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.

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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

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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: 02/14/2013

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