National Study of Title IV-E Child Welfare Waiver Demonstrations

Forms and Documents

Document Name	Status
Form 1 Prectice- and Systems-Level Change Telephone Survey Form and Instruction	New
Form 1 Pactice- and Systems-Level Change Survey Sampling Form Form and Instruction	New
Form 1 Measuring Well-Being Telephone Survey Form and Instruction	New
Form 1 Web-Based Survey Form and Instruction	New
Form 1 Web-Based Survey Sampling Form Form and Instruction	New
Waiver demo supporting statement section B.docx Supporting Statement B	2016-11-03
Waiver demo Supporting Statement section A.docx Supporting Statement A	2016-11-03

IC Document Collections

IC ID	Document Title	Status
223978	Prectice- and Systems-Level Change Telephone Survey Form and Instruction	New
223977	Pactice- and Systems-Level Change Survey Sampling Form Form and Instruction	New
223976	Measuring Well-Being Telephone Survey Form and Instruction	New
223975	Web-Based Survey Form and Instruction	New
223974	Web-Based Survey Sampling Form Form and Instruction	New

ICR Details

OMB Control No: 0970-0495	ICR Reference No: 201610-0970-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: National Study of Title IV-E Child Welfare Waiver Demonstrations
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: 11/08/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	372	0	0
Time Burden (Hours)	178	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Study of the Title IV–E Child Welfare Waiver Demonstrations is sponsored by the Children’s Bureau, Administration for Children and Families of the U.S. Department of Health and Human Services and involves the conduct of a cross-site study of jurisdictions (referred to as waiver jurisdictions) approved to operate demonstrations authorized by section 1130 of the Social Security Act, as amended by the Child and Family Services Improvement and Innovation Act, Public Law 112–34. The demonstrations involve waivers of certain provisions of the foster care program authorized by title IV–E of the Social Security Act. Child welfare agencies in waiver jurisdictions are operating demonstrations to implement a variety of programs and interventions that serve children and families in an effort to improve their safety, permanency, and well-being. Each waiver jurisdiction is required to conduct a third-party evaluation of its demonstration. The National Study will examine the extent to which safety, permanency, and well-being outcomes have improved for children and families; the characteristics of waiver jurisdictions where improvements in outcomes have occurred; expenditure patterns and the types of activities for which waiver jurisdictions have increased funding; and the extent to which waiver jurisdictions have experienced practice and systems-level changes. The National Study uses a mixed-method approach to examine 25 waiver jurisdictions (including 23 states, the District of Columbia and one tribal government) with Terms and Conditions approved in Federal Fiscal years 2012, 2013, and 2014. Proposed data collection methods are two topically-focused telephone surveys: (a) A telephone survey of waiver jurisdiction representatives and evaluators who are focused on measuring well-being, and (b) a second telephone survey of waiver jurisdiction representatives and evaluators that is focused on understanding practice and systems-level changes within child welfare service systems. Also proposed is a Web-based survey of waiver jurisdiction representatives and evaluators that will look more broadly at the implementation of waiver demonstrations and corresponding changes in child welfare policy, practice, and financing. Two sampling survey forms are being proposed to collect the necessary contact information for respondents to the Web-based survey and the telephone survey focused on understanding practice and systems-level changes within child welfare service systems. Data collected through these instruments will be used by the Children’s Bureau to gain an understanding of the jurisdictions’ collective experience with implementing their demonstrations. The respondents to the Web-Based Survey will be a purposive sample of an estimated 250 waiver jurisdiction representatives and evaluators drawn from the 25 waiver jurisdictions with waiver demonstration projects (Arkansas, Arizona, Colorado, Hawaii, Illinois, Kentucky, Maine, Maryland, Massachusetts, Michigan, Nebraska, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Port Gamble S’Klallam Tribe, Rhode Island, Tennessee, Texas, Utah, Washington, Washington DC, West Virginia, Wisconsin). The Web-Based Survey Sampling Form and the Web-Based Survey will be administered once during the National Study. The respondents to the Measuring Well-Being telephone survey will be a census sample of the 23 evaluators identified from the 23 waiver jurisdictions who are involved with the assessment of child and family well-being in their waiver jurisdictions. The Measuring Well-Being telephone survey will be administered once during the National Study. The respondents to the Practice and Systems-Level Change telephone survey will be a purposive sample of 60 respondents identified from 14 waiver jurisdictions who are knowledgeable about practice and policy.

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Authorizing Statute(s): PL: Pub.L. 112 - 34 1130 Name of Law: Child and Family Service Improvement and Innovation Act
  

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 38709	06/14/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 78598	11/08/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Web-Based Survey	1	National Study Web-Based Survey
Measuring Well-Being Telephone Survey	1	Practice and Systems Level Change Telephone Survey
Pactice- and Systems-Level Change Survey Sampling Form	1	Practice and Systems Level Change Survey Sampling Form
Prectice- and Systems-Level Change Telephone Survey	1	Practive and Systems Level Chnage Telephone Survey
Web-Based Survey Sampling Form	1	WBS Sampling Form

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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	372	0	0	372	0	0
Annual Time Burden (Hours)	178	0	0	178	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 request.

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Annual Cost to Federal Government: $137,223

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: 11/08/2016

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