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 Manager - Interview Guide Form and Instruction New Available
Survey of County Respondents - screenshots Form New Available
County Data Manager - Survey of County TANF and CW Respondents Form New Available
Partners - Interview Guide Form and Instruction New Available
Allied Staff - Interview Guide Form and Instruction New Available
Interview Guide for CW and other staff Form and Instruction New Available
Survey of County Respondents - screenshots Form New Available
Survey of County TANF and CW Respondents Form New Available
Interview Guide of CW/Colorado Works Form New Available
Survey of County Respondents - screenshots Form New Available
Survey of County TANF and CW Respondents Form New Available
Interview Guide for State-level Administrators Form and Instruction New Available
Survey of State Administrators - screenshots Form New Available
Survey of State-level Administrators Form New Available
INterview Guide for County Director of Human Services Form and Instruction New Available
Survey of County Respondents - screenshots Form New Available
Survey of County 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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
210909 County Data Manage - Interview Guide Form and Instruction NewCounty Data Manager - Interview Guide
210908 County Data Manager Form NewSurvey of County Respondents - screenshots
210908 County Data Manager Form NewCounty Data Manager - Survey of County TANF and CW Respondents
210907 Partners of Child Welfare and CO Works - Interview Guide Form and Instruction NewPartners - Interview Guide
210906 Allied Staff Form and Instruction NewAllied Staff - Interview Guide
210905 Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff - Interview Guide Form and Instruction NewInterview Guide for CW and other staff
210904 Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff Form NewSurvey of County Respondents - screenshots
210904 Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff Form NewSurvey of County TANF and CW Respondents
210903 Child Welfare/CW Leadership-Manager - Interview Guide Form NewInterview Guide of CW/Colorado Works
210902 Child Welfare-CW Leadership-Manager Form NewSurvey of County Respondents - screenshots
210902 Child Welfare-CW Leadership-Manager Form NewSurvey of County TANF and CW Respondents
210901 State-level Administrators - Interview Guide Form and Instruction NewInterview Guide for State-level Administrators
210900 State-level Administrators - Survey Form NewSurvey of State Administrators - screenshots
210900 State-level Administrators - Survey Form NewSurvey of State-level Administrators
210899 County Directors of Human Services - Interview Guide of Cty Dir of Human Services Form and Instruction NewINterview Guide for County Director of Human Services
210898 County Directors of Human Services -Survey of County TANF and CW Respondents Form NewSurvey of County Respondents - screenshots
210898 County Directors of Human Services -Survey of County TANF and CW Respondents Form NewSurvey of County Respondents

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
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff none, none ,  
Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff - Interview Guide none
Child Welfare-CW Leadership-Manager none, none ,  
Child Welfare/CW Leadership-Manager - Interview Guide none
County Data Manage - Interview Guide none
County Data Manager none, none ,  
County Directors of Human Services - Interview Guide of Cty Dir of Human Services none
County Directors of Human Services -Survey of County TANF and CW Respondents none, none ,  
Partners of Child Welfare and CO Works - Interview Guide none
State-level Administrators - Interview Guide none
State-level Administrators - Survey none, none ,  

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