Prevention of Child Maltreatment through Policy Change

Forms and Documents

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

IC Document Collections

IC ID	Document Title	Status
210909	County Data Manage - Interview Guide Form and Instruction	New
210908	County Data Manager Form	New
210907	Partners of Child Welfare and CO Works - Interview Guide Form and Instruction	New
210906	Allied Staff Form and Instruction	New
210905	Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff - Interview Guide Form and Instruction	New
210904	Child Welfare Services and CO Works Case Manager, Caseworker, Tech, and Other Staff Form	New
210903	Child Welfare/CW Leadership-Manager - Interview Guide Form	New
210902	Child Welfare-CW Leadership-Manager Form	New
210901	State-level Administrators - Interview Guide Form and Instruction	New
210900	State-level Administrators - Survey Form	New
210899	County Directors of Human Services - Interview Guide of Cty Dir of Human Services Form and Instruction	New
210898	County Directors of Human Services -Survey of County TANF and CW Respondents Form	New

ICR Details

OMB Control No: 0920-1025	ICR Reference No: 201403-0920-013
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 21599
Title: Prevention of Child Maltreatment through Policy Change
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/25/2014
	Date Received in OIRA: 03/24/2014
Terms of Clearance: Approved with the understanding that the case studies and interviews contained in this ICR are descriptive in nature and generalizations beyond the participanting entities cannot be made. CDC will continue to consult and collaborate with relevant federal partners (including ACF) on projects related to child maltreatment.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	24 Months From Approved
Responses	158	0	0
Time Burden (Hours)	111	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The prevalence and consequences of child maltreatment (CM) make it a public health concern that requires early and effective prevention. Public policies can be critical in shaping every level of the social ecology, including individuals, families, and communities, and have the potential to play a key role in the prevention of CM. To protect children and youth and build an evidence-base of effective prevention strategies, evaluation of public policies are needed, including those currently being implemented. Policies related to family income were identified through the Division of Violence Prevention's Public Health Leadership Initiative policy analysis as those in need of evaluation. This proposed data collection will inform a larger outcome evaluation that seeks to understand if county-administered policy strategies of the TANF program result in lower rates of CM and associated child welfare outcomes. This collection addresses 3 primary aims: 1) to understand how a state policy allowing counties to administer TANF programs with flexibility contributes to county-level adoption of integrated welfare and child welfare service models; 2) to develop and refine an Implementation Index, to quantify the degree of integration between welfare and child welfare services; and 3) to inform the larger outcome evaluation, to examine if TANF policies and program supports reduce rates of CM when they are delivered in an integrated welfare and child welfare service model.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

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:
	78 FR 54253	09/03/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 15348	03/19/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

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

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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	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

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: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $255,934

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: 03/24/2014

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