Information Collection

Generic ICR for Qualitative and Descriptive Quantitative Data Collection for a Child Welfare Site

IC 236868 under ICR 201909-0970-003 · OMB 0970-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0502 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - BIAS NG Survey 2018-06-15.xlsx	Other-null
Appendix B Client Interviews 06-15-2018_updated 09-04-2019_clean.docx	Other-null
Appendix C - Staff Survey 06-15-2018.docx	Other-null
Appendix D - Staff Interviews - 06-15-2018.docx	Other-null
BIAS-NG Generic Supporting Statement A_Allegheny_Sept2019_clean.docx BIAS-NG Generic Supporting Statement A_Allegheny - Child Welfare Site	IC Document
BIAS-NG Generic Supporting Statement B_Allegheny - Child Welfare Site_Final.docx BIAS-NG Generic Supporting Statement B_Allegheny - Child Welfare Site	IC Document
BIAS NG Allegheny GenIC_NOA_7.10.18.pdf NOA - BIAS NG Allegheny GenIC_NOA_7.10.18	IC Document
Allegheny nonsubstantive change memo_09-04-2019 final.docx NonSub Change Memo - Alleghany County Incentive Increase	IC Document

IC Title:

Generic ICR for Qualitative and Descriptive Quantitative Data Collection for a Child Welfare Site

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-null	Appendix A - BIAS NG Survey 2018-06-15.xlsx	Yes	Yes	Fillable Fileable
Other-null	Appendix B Client Interviews 06-15-2018_updated 09-04-2019_clean.docx	No		Paper Only
Other-null	Appendix C - Staff Survey 06-15-2018.docx	Yes	Yes	Fillable Fileable
Other-null	Appendix D - Staff Interviews - 06-15-2018.docx	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 744

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,232	2,232
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BIAS-NG Generic Supporting Statement A_Allegheny - Child Welfare Site	BIAS-NG Generic Supporting Statement A_Allegheny_Sept2019_clean.docx	09/04/2019
BIAS-NG Generic Supporting Statement B_Allegheny - Child Welfare Site	BIAS-NG Generic Supporting Statement B_Allegheny - Child Welfare Site_Final.docx	07/11/2019
NOA - BIAS NG Allegheny GenIC_NOA_7.10.18	BIAS NG Allegheny GenIC_NOA_7.10.18.pdf	07/11/2019
NonSub Change Memo - Alleghany County Incentive Increase	Allegheny nonsubstantive change memo_09-04-2019 final.docx	09/04/2019

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