Information Collection Request

Prevention of Child Maltreatment through Policy Change

ICR 201403-0920-013 · OMB 0920-1025 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
County Data Manage - Interview Guide Form and Instruction New Available
County Data Manager Form New Available
Partners of Child Welfare and CO Works - Interview Guide Form and Instruction New Available
Allied Staff Form and Instruction New Available
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff - Interview Guide Form and Instruction New Available
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff Form New Available
Child Welfare/CW Leadership-Manager - Interview Guide Form New Available
Child Welfare-CW Leadership-Manager Form New Available
State-level Administrators - Interview Guide Form and Instruction New Available
State-level Administrators - Survey Form New Available
County Directors of Human Services - Interview Guide of Cty Dir of Human Services Form and Instruction New Available
County Directors of Human Services -Survey of County TANF and CW Respondents Form New Available
SSB.docx Supporting Statement B Uploaded 2014-03-19 Available
Atmt S - Int Resp Verbal Consent Form.docx Supplementary Document Uploaded 2014-03-20 Available
Atmt R Public Comment.docx Supplementary Document Uploaded 2014-03-20 Available
Atmt O - Proj Info and Consent Stmt for Int Parts.docx Supplementary Document Uploaded 2014-03-20 Available
Atmt N - Transcriber Data Security Agreement.doc Supplementary Document Uploaded 2014-03-20 Available
Atmt M Nondisclosure Agreement.doc Supplementary Document Uploaded 2014-03-20 Available
Atmt C IRB Approval Form.pdf Supplementary Document Uploaded 2014-03-19 Available
Atmt B Published 60-day notice - 9-3-2013.pdf Supplementary Document Uploaded 2014-03-19 Available
Atmt A Authorizing Legislation.docx Supplementary Document Uploaded 2014-03-19 Available
SSA.docx Supporting Statement A Uploaded 2014-03-19 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2016 24 Months From Approved
158 0 0
111 0 0
0 0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Allied Staff none Allied Staff - Interview Guide
Partners of Child Welfare and CO Works - Interview Guide none Partners - Interview Guide
County Data Manager none, none County Data Manager - Survey of County TANF and CW Respondents ,   Survey of County Respondents - screenshots
County Data Manage - Interview Guide none County Data Manager - Interview Guide
County Directors of Human Services -Survey of County TANF and CW Respondents none, none Survey of County Respondents ,   Survey of County Respondents - screenshots
County Directors of Human Services - Interview Guide of Cty Dir of Human Services none INterview Guide for County Director of Human Services
State-level Administrators - Survey none, none Survey of State-level Administrators ,   Survey of State Administrators - screenshots
State-level Administrators - Interview Guide none Interview Guide for State-level Administrators
Child Welfare-CW Leadership-Manager none, none Survey of County TANF and CW Respondents ,   Survey of County Respondents - screenshots
Child Welfare/CW Leadership-Manager - Interview Guide none Interview Guide of CW/Colorado Works
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff none, none Survey of County TANF and CW Respondents ,   Survey of County Respondents - screenshots
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff - Interview Guide none Interview Guide for CW and other staff

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 158 0 0 158 0 0
Annual Time Burden (Hours) 111 0 0 111 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No