National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Data Collection (Phase II)

Forms and Documents

Document	Type	Status	Availability
Appx A_NSCAW III_Summary of Interviews_clean 4.19.17v1.docx	Supplementary Document	Uploaded 2017-04-20	Available
Appx I_HIPAA Authorization Forms_clean.docx	Supplementary Document	Uploaded 2017-02-17	Repair queued
Appx H_Data Linkage Forms_clean.docx	Supplementary Document	Uploaded 2017-02-17	Repair queued
Appx G_Consent and Assent Forms_clean.docx	Supplementary Document	Uploaded 2017-02-17	Available
Appx F_Lead Letters and Fact Sheets_clean.docx	Supplementary Document	Uploaded 2017-02-17	Repair queued
SSB_Phase II_NSCAW III_2017_clean.docx	Supporting Statement B	Uploaded 2017-02-17	Available
SSA_Phase II_NSCAW III_2017_clean.docx	Supporting Statement A	Uploaded 2017-02-17	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
225756	Caseworking Interview - 18-month follow-up	Other-Interviews	New
225755	Caregiver Interview - 18-month follow-up	Other-Interviews	New
225754	Child Interview - 18-month follow-up	Other-Interviews	New
225753	Caseworking Interview - Baseline	Other-Interviews	New
225752	Caregiver Interview - Baseline	Other-Interviews	New
225751	Child Interview - Baseline	Other-Interviews	New
221807	Child welfare agency staff monthly sample file generation and transmission	Other-Email - Monthly sample file	Unchanged
221806	Visit or call with agency staff explaining the sample file process	Other-Specifications Monthly Submissions	Unchanged
221805	In-person visit with agency staff	Other-Checklist/Discussion Guide	Unchanged
221804	Initial call with agency staff	Other-Checklist/Discussion Guide	Unchanged
221803	Information package for child welfare agency administrators	Other-Prenotification Letter	Unchanged

ICR Details

OMB Control No: 0970-0202	ICR Reference No: 201702-0970-003
Status: Historical Active	Previous ICR Reference No: 201606-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Data Collection (Phase II)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/24/2017
	Date Received in OIRA: 02/23/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	11/30/2019
Responses	8,941	0	796
Time Burden (Hours)	11,222	0	795
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 phase (Phase II) of the project, the study team proposes to collect information from children involved in the child welfare system (CWS) as well as their caregivers and caseworkers at baseline and 18-month follow-up. The overarching goal is to maintain the strengths and continuity of the prior cohorts of NSCAW while better positioning the study to address changes in the child welfare population and increasing the study’s utility through linkage to additional administrative datasets.

---

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 85572	11/28/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 11470	02/23/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Initial call with agency staff
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
Child Interview - Baseline
Caregiver Interview - 18-month follow-up
Caseworking Interview - Baseline
Child Interview - 18-month follow-up
Caregiver Interview - Baseline
Caseworking Interview - 18-month follow-up

---

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	8,941	796	0	8,145	0	0
Annual Time Burden (Hours)	11,222	795	0	10,427	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 an additional information collection request under OMB No. 0970-0202.

---

Annual Cost to Federal Government: $5,797,906

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: 02/23/2017

---