Data Collection Plan for the Adoption Call to Action

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix B - AdoptionCalltoAction_ProgressUpdateEmail.docx	Supplementary Document	Uploaded 2020-05-27	Available
Appendix A - AdoptionCalltoAction_BaselineSurveyEmail.docx	Supplementary Document	Uploaded 2020-05-27	Available
AdoptionCallToActionDataCollection_SupportingStatement B 5-20-20.docx	Supporting Statement B	Uploaded 2020-05-27	Available
AdoptionCallToActionDataCollection_SupportingStatement A 7-15-20.docx	Supporting Statement A	Uploaded 2020-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241984	Adoption Call to Action Progress Update Survey	Other-Survey	New
241983	Adoption Call to Action Baseline Survey	Other-Survey	New

ICR Details

OMB Control No: 0970-0549	ICR Reference No: 202005-0970-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: CB
Title: Data Collection Plan for the Adoption Call to Action
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/06/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/27/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	36 Months From Approved
Responses	52	0	0
Time Burden (Hours)	15	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Adoption Call to Action is an effort by the Children's Bureau, Administration for Children and Families of the U.S. Department of Health and Human Services. The purpose of the Adoption Call to Action is to engage child welfare agencies to improve the timeliness and likelihood of permanency for children who are waiting for adoption. Fifty-three jurisdictions are participating with each receiving technical assistance support from the Capacity Building Center for States, a Children’s Bureau funded provider. Each jurisdiction is involved in developing and implementing innovative solutions to achieve the goals established for this initiative. Lessons learned from this data collection will not only provide an assessment of the overall effectiveness of this initiative but will inform similar efforts in the future. This new information collection will provide the Children’s Bureau with an understanding of agency target populations, specific strategies (interventions), and outcomes measurement, in order to inform technical assistance strategies and provide a national picture of the overall success of the initiative. Baseline data will be collected with an initial survey (Baseline Survey), with two follow-up survey instruments (Progress Update Survey) designed to collect process and outcome measures at two additional points in time. The instruments focus on (1) identifying the target population(s) agencies are addressing, (2) understanding elements of intervention implementation (process measures), and (3) capturing information related to the outcomes of these efforts. Respondents of these data collection instruments will include one representative from each of the 53 child welfare agencies who are participating in Adoption Call to Action activities. Respondents will be able to use their own responses to this data collection to support their jurisdiction’s efforts to document and monitor progress and to communicate with stakeholders. Aggregate reporting will be developed from this data collection at each of the three points of data collection to provide TA providers and the Children’s Bureau with progress updates that can be used to developed more effective and tailored approaches to assistance.

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Authorizing Statute(s): US Code: 42 USC 5113 Name of Law: Adoption Opportunities of the Child Abuse Prevention and Treatment Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 10446	02/24/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 31781	05/27/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Adoption Call to Action Baseline Survey
Adoption Call to Action Progress Update Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	52	0	0	52	0	0
Annual Time Burden (Hours)	15	0	0	15	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $1,686

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/27/2020

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