Information Collection

Fathers and Continuous Learning in Child Welfare Project

IC 237752 under ICR 202009-0970-017 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

2026-06-25 - No material or nonsubstantive change to a currently approved collection
2026-06-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 01_RevisedtoOPRE_Clean.docx	Other-Improvement Team Group Intervi
Instrument 02_RevisedtoOPRE_Clean.docx	Other-Focus Group with Engagement St
Instrument 03_RevisedtoOPRE_Clean.docx	Other-Interview with Child Welfare A
Instrument 04_RevisedtoOPRE_Clean.docx	Other-Group Interview of Fathers and
Instrument 05_RevisedtoOPRE_Clean.docx	Other-Improvement Team Information F
Instrument 07_RevisedtoOPRE_Clean.docx	Other-Discussion Forum Prompts
Instrument 08_RevisedtoOPRE_Clean.docx	Other-Learning Session Day 1 Evaluat
Instrument 09_RevisedtoOPRE_Clean.docx	Other-Action Planning Form
Instrument 10_RevisedtoOPRE_Clean.docx	Other-Learning Session Overall Evalu
Instrument 11_RevisedtoOPRE_Clean.docx	Other-Site Self-Assessment
Instrument 12_RevisedtoOPRE_Clean.docx	Other-PDSA Worksheet
Instrument 13_RevisedtoOPRE_Clean.docx	Other-Implementation Assessment
Instrument 14_DraftoOPRE.docx	Other-Speed Sharing for Learning Ses
Instrument 15_DrafttoOPRE.docx	Other-Elevator Speech Assignment
Instrument 16_DrafttoOPRE.docx	Other-Spreading and Sustaining the W
Instrument 06_09.30.2019.docx	Other-Data Collection Planning Works
Instrument 01_Improvement Team- Virtual Interview_CLEAN.docx	Other-Virtual Interview
Instrument 02_Engagement Team-Virtual Interview_CLEAN.docx	Other-Virtual Interview
Instrument 03_Senior Leader-Virtual Interview_CLEAN.docx	Other-Virtual Interview
Instrument 04_ FPR on Improvement Team - Virtual Interview_CLEAN.docx	Other-Virtual Interview
50521 FCL_GenericClr_SSA_09.25_Clean.docx Supporting Statement A - Fathers and Continuous Learning in Child Welfare Project	IC Document
50521 FCL_GenericClr_SSB_09.12_April 2020_CLEAN.docx Supporting Statement B - Fathers and Continuous Learning in Child Welfare Project	IC Document
Appendix 1_Collaborative Change Framework_Final.pdf Appendix 1 - Collaborative Change Framework	IC Document
NonSub Change Request - FCL GenIC_0970-0531_4.8.20.docx NonSub Change Request - Virtual Interviews at 2 Sites	IC Document
NonSub Change Request - FCL GenIC_0970-0531_091820.docx NonSub Change Request Memo - 3rd Learning Session - September 2020	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Fathers and Continuous Learning in Child Welfare Project

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-Improvement Team Group Interview	Instrument 01_RevisedtoOPRE_Clean.docx	No		Paper Only
Other-Focus Group with Engagement Strategy Staff	Instrument 02_RevisedtoOPRE_Clean.docx	No		Paper Only
Other-Interview with Child Welfare Agency Leaders	Instrument 03_RevisedtoOPRE_Clean.docx	No		Paper Only
Other-Group Interview of Fathers and Paternal Relatives on the Improvement Team	Instrument 04_RevisedtoOPRE_Clean.docx	No		Paper Only
Other-Improvement Team Information Form	Instrument 05_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Discussion Forum Prompts	Instrument 07_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Learning Session Day 1 Evaluation	Instrument 08_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Action Planning Form	Instrument 09_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Learning Session Overall Evaluation	Instrument 10_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Site Self-Assessment	Instrument 11_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-PDSA Worksheet	Instrument 12_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Implementation Assessment	Instrument 13_RevisedtoOPRE_Clean.docx	Yes	Yes	Fillable Fileable
Other-Speed Sharing for Learning Session 2	Instrument 14_DraftoOPRE.docx	Yes	Yes	Fillable Fileable
Other-Elevator Speech Assignment	Instrument 15_DrafttoOPRE.docx	No		Paper Only
Other-Spreading and Sustaining the Work	Instrument 16_DrafttoOPRE.docx	Yes	Yes	Fillable Fileable
Other-Data Collection Planning Worksheet	Instrument 06_09.30.2019.docx	Yes	Yes	Fillable Fileable
Other-Virtual Interview	Instrument 01_Improvement Team- Virtual Interview_CLEAN.docx	No		Paper Only
Other-Virtual Interview	Instrument 02_Engagement Team-Virtual Interview_CLEAN.docx	No		Paper Only
Other-Virtual Interview	Instrument 03_Senior Leader-Virtual Interview_CLEAN.docx	No		Paper Only
Other-Virtual Interview	Instrument 04_ FPR on Improvement Team - Virtual Interview_CLEAN.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,449	244	2,205
Annual IC Time Burden (Hours)	1,225	122	1,103
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - Fathers and Continuous Learning in Child Welfare Project	50521 FCL_GenericClr_SSA_09.25_Clean.docx	09/30/2020
Supporting Statement B - Fathers and Continuous Learning in Child Welfare Project	50521 FCL_GenericClr_SSB_09.12_April 2020_CLEAN.docx	04/08/2020
Appendix 1 - Collaborative Change Framework	Appendix 1_Collaborative Change Framework_Final.pdf	09/13/2019
NonSub Change Request - Virtual Interviews at 2 Sites	NonSub Change Request - FCL GenIC_0970-0531_4.8.20.docx	04/08/2020
NonSub Change Request Memo - 3rd Learning Session - September 2020	NonSub Change Request - FCL GenIC_0970-0531_091820.docx	09/30/2020

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