Child Welfare Program Improvement Plan Pilot Evaluation

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.