National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Agency Recruitment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement B_Oct27_clean.docx	Supporting Statement B	Uploaded 2016-10-28	Available
Supporting Statement A_Oct 27_final_clean.docx	Supporting Statement A	Uploaded 2016-10-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221807	Child welfare agency staff monthly sample file generation and transmission	Other-Email - Monthly sample file	New
221806	Visit or call with agency staff explaining the sample file process	Other-Specifications Monthly Submissions	New
221805	In-person visit with agency staff	Other-Checklist/Discussion Guide	New
221804	Initial call with agency staff	Other-MOA	New
221803	Information package for child welfare agency administrators	Other-Prenotification Letter	New
184024	Teacher Questionaire	Other-Teacher Questionaire	Removed
184023	Caseworker Interview	Other-Caseworker Interview	Removed
184022	Caregiver Interview	Other-Caregiver Interview	Removed
10029	Child Interview	Other-Child Interview	Removed

ICR Details

OMB Control No: 0970-0202	ICR Reference No: 201606-0970-001
Status: Historical Active	Previous ICR Reference No: 201105-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Agency Recruitment
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/03/2016
	Date Received in OIRA: 06/10/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	24 Months From Approved	09/16/2014
Responses	796	0	12,048
Time Burden (Hours)	795	0	13,789
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration for Children and Families (ACF) within the U.S. Department of Health and Human Services (HHS) seeks approval to contact child welfare agencies for the purpose of recruitment and gathering information to facilitate the sampling of children for the third cohort of children and families for the National Survey of Child and Adolescent Well-Being (NSCAW III). During this first phase (Phase I) of the project, the study team will only collect information relevant to child welfare agency recruitment and files for sampling children. A separate package will be submitted requesting approval for the second phase (Phase II) of the NSCAW III project, including baseline and 18-month follow-up data collection, instruments and procedures, data analyses and the reporting of study findings.

---

Authorizing Statute(s): US Code: 42 USC 626 Name of Law: Social Security Act Section 426
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 20646	04/08/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 37600	06/10/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Teacher Questionaire
Initial call with agency staff
Caregiver Interview
Child Interview
Caseworker Interview
Information package for child welfare agency administrators
In-person visit with agency staff
Visit or call with agency staff explaining the sample file process
Child welfare agency staff monthly sample file generation and transmission

---

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	796	12,048	0	-11,252	0	0
Annual Time Burden (Hours)	795	13,789	0	-12,994	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: This is a new wave of data collection under OMB No. 0970-0202. All previously approved data collections were completed.

---

Annual Cost to Federal Government: $397,180

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

---

Common Form ICR:  No

---

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: 06/10/2016

---