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Federal forms, ICRs, and supporting documents

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.

Documents and Forms
Document Name
Document Type
Other-Informational Interview
Other-Discussion Guide
Other-Discussion Guide - Partner
Other-Discussion Guide - Practitione
Other-Verbal Consent
Other-Guide
Other-Interview Guide
Other-Stakeholder Guide
Other-Consent Document
Other-Consent Document
Other-Interview Guide
Other-Interview Guide
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted 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

Health Public Health Monitoring

 

492 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 492 0 492 0 0 0
Annual IC Time Burden (Hours) 689 0 689 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.