Information Collection

Addressing Substance Use Disorders Among Families Involved with the Child Welfare System: A Cross-Agency Collaboration

IC 235674 under ICR 201705-0990-002 · OMB 0990-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AttachmentA_Wave1InformantInterviewProtocol - ASPE substudy.docx	Other-Informational Interview
AttachmentB_DiscussionGuide_Administrator - ASPE substudy.docx	Other-Discussion Guide
AttachmentD_DiscussionGuide_Partner_OtherOrg - ASPE substudy.docx	Other-Discussion Guide - Partner
AttachmentC_DiscussionGuide_Practitioner - ASPE substudy.docx	Other-Discussion Guide - Practitione
AttachmentE_VerbalConsent - ASPE substudy.docx	Other-Verbal Consent
CBS Caregiver FG Guide.docx	Other-Guide
CBS Caregiver KII.docx	Other-Interview Guide
CBS FG_Provider-Stakeholder.docx	Other-Stakeholder Guide
CBS Informed Consent Parent-Caregiver.docx	Other-Consent Document
CBS Informed Consent Parent-Caregiver_3.5.19_Updated 6.4.19.docx	Other-Consent Document
CBS KII_Parent for OMB.docx	Other-Interview Guide
CBS KII_Provider-Stakeholder.docx	Other-Interview Guide
Demo Info Form_Caregiver Version_3.7.19_Updated 5.24.19.docx	Other-Questionnaire
Demo Info Form_Caregiver.docx	Other-Questionnaire
Demo Info Form_Parent Version_3.5.19_Updated 5.24.19.docx	Other-Questionnaire
01_Generic_CoverSheet - Addressing SUDs among Families Involved with the Child Welfare System.docx Cover Sheet	IC Document
03_Supporting Statement B_ASPE-CDC Study - SUDs and Child Welfare.docx Supporting Statement B	IC Document
02_Supporting Statement A_ASPE-CDC Study SUDs and Child Welfare_Response to OMB Questions 6-7-2019.docx Supporting Statement A	IC Document

IC Title:

Addressing Substance Use Disorders Among Families Involved with the Child Welfare System: A Cross-Agency Collaboration

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Consent Document	CBS Informed Consent Parent-Caregiver_3.5.19_Updated 6.4.19.docx	No	Paper Only
Other-Informational Interview	AttachmentA_Wave1InformantInterviewProtocol - ASPE substudy.docx	No	Paper Only
Other-Discussion Guide	AttachmentB_DiscussionGuide_Administrator - ASPE substudy.docx	No	Paper Only
Other-Discussion Guide - Partner	AttachmentD_DiscussionGuide_Partner_OtherOrg - ASPE substudy.docx	No	Paper Only
Other-Discussion Guide - Practitioner	AttachmentC_DiscussionGuide_Practitioner - ASPE substudy.docx	No	Paper Only
Other-Verbal Consent	AttachmentE_VerbalConsent - ASPE substudy.docx	No	Paper Only
Other-Guide	CBS Caregiver FG Guide.docx	No	Paper Only
Other-Interview Guide	CBS Caregiver KII.docx	No	Paper Only
Other-Stakeholder Guide	CBS FG_Provider-Stakeholder.docx	No	Paper Only
Other-Consent Document	CBS Informed Consent Parent-Caregiver.docx	No	Paper Only
Other-Interview Guide	CBS KII_Parent for OMB.docx	No	Paper Only
Other-Interview Guide	CBS KII_Provider-Stakeholder.docx	No	Paper Only
Other-Questionnaire	Demo Info Form_Caregiver.docx	No	Paper Only
Other-Questionnaire	Demo Info Form_Caregiver Version_3.7.19_Updated 5.24.19.docx	No	Paper Only
Other-Questionnaire	Demo Info Form_Parent Version_3.5.19_Updated 5.24.19.docx	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 492

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	492	492
Annual IC Time Burden (Hours)	689	689
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Sheet	01_Generic_CoverSheet - Addressing SUDs among Families Involved with the Child Welfare System.docx	04/12/2019
Supporting Statement B	03_Supporting Statement B_ASPE-CDC Study - SUDs and Child Welfare.docx	04/12/2019
Supporting Statement A	02_Supporting Statement A_ASPE-CDC Study SUDs and Child Welfare_Response to OMB Questions 6-7-2019.docx	06/07/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.