Form 1 NRC T/TA Work Plan

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T/TA Case Number: TA221343

NRC T/TA Work Plan Form
PLAN FOR RESPONDING TO T/TA NEED
NRC Lead Provider* Select NRC
Child Welfare – Organizational Improvement
Child Protective Services
Child Welfare – Legal and Judicial Issues
Family – Centered Practice and Permanency Planning
Child Welfare Data and Technology

Additional Network Members Needed to Deliver T/TA
Added Members

Select Network Members
Child Welfare – Organizational Improvement
Child Protective Services
Child Welfare – Legal and Judicial Issues
Family – Centered Practice and Permanency Planning
Child Welfare Data and Technology

Practice Area(s)*

T/TA Matrix Attached*
NRC1

TTA1

TTA2

Only generates tabs
for NRCs, not others.

Select all that apply

NRC/IC Optional Category #2

Select one
Yes

NOTE

<< Click to REMOVE

Organizational/
Systemic Area(s)*

Select all that apply

NRC/IC Optional Category

Child Welfare – Youth Development
Click to ADD >>

No

Select all that apply

Browse...

Cancel

ETC

Save

Number of ON-SITE Days Anticipated (if applicable)
FPO Approving on-site T/TA, if estimate exceeds 10 days
Expected timeframe for T/TA delivery*

Start

mm/dd/yyyy

End

mm/dd/yyyy

NRC Contact Person* Prefilled: Able to edit
Email*
Prefilled: Able to edit
Phone*

NOTE

Prefilled: Able to edit

If TTA plan
not attached,
Brief description
is required

Brief narrative description of T/TA planned (if not attached)
No

T/TA plan attached*

Yes

No

Browse...

Email*

State/Tribal Contact Person*

Optional Field

Is this T/TA Request ready for close out?

NRC TA Work Plan Form

NOTE
Modifications can be
made to these tabs. If
modifications are
present, when you
select “Save” you will
be asked to explain
the changes.
Matrix only on main

Optional Field

Yes

No

Phone*

Cancel

Save

NOTE
“No” is the default for
the close out question.
if “Yes” is selected, the
“T/TA Plan Close Out”
form will appear and
can then be completed.
(*) fields req’d when
“Close Out” = yes

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