Information Collection

Child Welfare Program Improvement Plan Pilot Evaluation

IC 234560 under ICR 201801-0970-013 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction
1 PIPPilot PIPPilot_EndofPIPFeedbackSurvey.docx	Form and Instruction
1 PIPPilot PIPPilot_FocusGroup.docx	Form and Instruction
1 PIPPilot Onsite Feedback Survey PIPPilot_OnsiteFeedbackSurvey.docx	Form and Instruction
1 PIPPilot PreonsiteFeedbackSurvey PIPPilot_PreonsiteFeedbackSurvey.docx	Form and Instruction
PIPPilotEvaluation_OMBFastTrack.doc Justification	IC Document

IC Title:

Child Welfare Program Improvement Plan Pilot Evaluation

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	PIPPilot	PIPPilot_EndofPIPFeedbackSurvey.docx	No	Printable Only
Form and Instruction	1	PIPPilot	PIPPilot_FocusGroup.docx	No	Printable Only
Form and Instruction	1	PIPPilot Onsite Feedback Survey	PIPPilot_OnsiteFeedbackSurvey.docx	No	Printable Only
Form and Instruction	1	PIPPilot PreonsiteFeedbackSurvey	PIPPilot_PreonsiteFeedbackSurvey.docx	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 336

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	336	336
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	PIPPilotEvaluation_OMBFastTrack.doc	12/19/2018

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