Evaluation of the Child Welfare Capacity Building Collaborative: Part II

Forms and Documents

Document Name	Status
Form 1 CapLEARN Registration Form and Instruction	New
Form 1 Center for States: Assessment and Work Planning Survey Form and Instruction	New
Form 1 Center for States: Tailored Services Interview Form and Instruction	New
Form 1 Webinar Registration Form and Instruction	New
Form 1 Center for Courts: Universal and Constituency Form and Instruction	New
Form 1 P.L. 113-183 Key Informant Interview Form and Instruction	New
Form 1 P.L. 113-183 Key Informant Survey Form and Instruction	New
Form 1 CQI Workshop Follow-Up Survey Form and Instruction	New
Form 1 Foundational Assessment Survey-States, Courts, and Tribes Form and Instruction	New
Form 1 Tailored Services Satisfaction Survey Form and Instruction	New
Form 1 Capacity Survey - States, Courts and Tribes Form and Instruction	New
CAP-B SUPPORTING STATEMENT Part II Sec B JR.docx Supporting Statement B	2016-10-27
CAP-B SUPPORTING STATEMENT Part II Sec A JR.doc Supporting Statement A	2016-10-27

IC Document Collections

IC ID	Document Title	Status
224181	CapLEARN Registration Form and Instruction	New
224180	Center for States: Assessment and Work Planning Survey Form and Instruction	New
224179	Center for States: Tailored Services Interview Form and Instruction	New
224178	Webinar Registration Form and Instruction	New
224177	Center for Courts: Universal and Constituency Form and Instruction	New
224176	P.L. 113-183 Key Informant Interview Form and Instruction	New
224175	P.L. 113-183 Key Informant Survey Form and Instruction	New
224174	CQI Workshop Follow-Up Survey Form and Instruction	New
224173	Foundational Assessment Survey-States, Courts, and Tribes Form and Instruction	New
224171	Tailored Services Satisfaction Survey Form and Instruction	New
224170	Capacity Survey - States, Courts and Tribes Form and Instruction	New

ICR Details

OMB Control No: 0970-0494	ICR Reference No: 201610-0970-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: Evaluation of the Child Welfare Capacity Building Collaborative: Part II
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 without change	Conclusion Date: 03/23/2017
	Date Received in OIRA: 10/31/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	6,918	0	0
Time Burden (Hours)	567	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Evaluation of the Child Welfare Capacity Building Collaborative: Part Two is sponsored by the Children’s Bureau (CB) in the Administration on Children, Youth and Families (ACYF), Administration for Youth and Families (ACF), U.S. Department of Health and Human Services (DHHS) which seeks approval for the data collection instruments and procedures described herein. The proposed information collection is necessary to facilitate, track, monitor, and evaluate the activities of the Capacity Building Collaborative which includes three Federally funded centers (Center for States, Center for Tribes, and Center for Courts) that deliver national child welfare expertise and evidence-informed training and technical assistance services to State, Tribal, and Territorial public child welfare agencies and Court Improvement Programs (CIPs). The CB-funded Centers’ collective goal is to build the capacities of State, local, Tribal child welfare systems to successfully undertake practice, organizational, and systemic reforms necessary to implement federal policies, meet federal standards, and achieve better outcomes for the children, youth and families they serve. This new data collection is the second part of a larger data collection effort being conducted for the evaluation of the Child Welfare Capacity Building Collaborative. The first group of instruments has already been submitted for this evaluation. Legislative Background and Purpose Agencies that receive formula funding through the Child Abuse Prevention and Treatment Act (CAPTA) and titles IV-B and IV-E of the Social Security Act are eligible for technical assistance from the Children’s Bureau to support implementation of these programs, compliance with federal requirements, and improvement of outcomes. The proposed information collection is necessary to perform routine evaluation of quality and effectiveness and to inform future planning and decision making about the provision and improvement of technical assistance services authorized under multiple sections of CAPTA and title IV of the Social Security Act. This information collection also complies with the statutory requirement for training projects authorized by Section 5106 of CAPTA to be evaluated for their effectiveness.

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Authorizing Statute(s): None

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:
	81 FR 37196	06/09/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66034	09/26/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
CQI Workshop Follow-Up Survey	1	CQI Workship Follor Up Survey
Webinar Registration	1	Webinar Registration
CapLEARN Registration	1	CapLearn Registration
Capacity Survey - States, Courts and Tribes	1, 1, 1	Capacity Survey-Center for Courts ,   Capacity Survey-Center for States ,   Capacity Survey-Center for Tribes
Foundational Assessment Survey-States, Courts, and Tribes	1, 1, 1	Foundational Assessment Survey-Center for Courts ,   Foundational Assessment Survey-Center for States ,   Foundational Assessment Survey-Center for Tribes
P.L. 113-183 Key Informant Survey	1	Key Informat Survey
P.L. 113-183 Key Informant Interview	1	Key Informant Interview
Center for Courts: Universal and Constituency	1	Center for Courts Universal and Constituency Services
Center for States: Tailored Services Interview	1	Center for States Tailored Services Interviews
Center for States: Assessment and Work Planning Survey	1	Center for States Assessment and Work Planning Survey
Tailored Services Satisfaction Survey	1	Tailored Services Satisfaction Survey

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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	6,918	0	0	6,918	0	0
Annual Time Burden (Hours)	567	0	0	567	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 evaluation.

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Annual Cost to Federal Government: $73,217

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: 10/31/2016

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