Information Collection Request

OPRE Study: National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Data Collection (Phase III - Caseworker Surveys) [Longitudinal Study]

ICR 202101-0970-002 · OMB 0970-0202 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
NonSub Change Request_NSCAW III_January 2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-01-11 Repair queued
Appx G-1_Caseworker Telephone Mode Consent Form_New.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx F-1_Adolescent Fact Sheet_revised Jan 2021_New.docx Supplementary Document Uploaded 2021-01-11 Missing upstream
Supporting Statement PartB_NSCAW_revised January 2021_Clean.docx Supporting Statement B Uploaded 2021-01-11 Repair queued
Supporting Statement PartA_NSCAW_revised January 2021_Clean.docx Supporting Statement A Uploaded 2021-01-11 Repair queued
Appendix J_Caseworker Consent_June 2020_clean_v2.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix I_Supervisor Consent_June 2020_clean_v2.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix H_Agency Director Consent_June 2020_clean_v2.docx Supplementary Document Uploaded 2020-06-22 Missing upstream
Appendix G_Caseworker Lead Letter_June 2020_clean.docx Supplementary Document Uploaded 2020-06-22 Missing upstream
Appendix C_NSCAW III Phase I-II Site Selection and Sampling_clean_v3.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix F_Supervisor Lead Letter_June 2020_clean.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix E_Agency Director Lead Letter_June 2020_clean.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix D_Research Questions and Constructs by Respondent_June 2020_clean.docx Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix B_60 Day FRN_NSCAW III CW Workforce Survey_0970-0202_2.4.20.pdf Supplementary Document Uploaded 2020-06-22 Repair queued
Appendix A_NSCAW III Phase II Research Questions.docx Supplementary Document Uploaded 2020-06-22 Missing upstream
OMB request for nonsubstantive changes_NSCAW_final_11.15.19.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-12-13 Available
OMB request for nonsubstantive change_NSCAW_7-26-19_fin.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-07-30 Repair queued
OMB request for nonsubstantive changes_NSCAW_opre 4.15.19_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-04-15 Missing upstream
Appx A_NSCAW III_Summary of Interviews_clean 4.19.17v1.docx Supplementary Document Uploaded 2017-04-20 Missing upstream
Appx I_HIPAA Authorization Forms_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx H_Data Linkage Forms_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx G_Consent and Assent Forms_revised_Jan2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Missing upstream
Appx F_Lead Letters and Fact Sheets_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242354 Caseworker Survey Other-Survey Unchanged
242353 Supervisor Survey Other-Survey Unchanged
242352 Agency Director Survey Other-Survey Unchanged
225756 Caseworking Interview - 18-month follow-up Other-Interviews Modified
225755 Caregiver Interview - 18-month follow-up Other-Interviews Modified
225754 Child Interview - 18-month follow-up Other-Interviews Modified
225753 Caseworking Interview - Baseline Other-Interviews Modified
225752 Caregiver Interview - Baseline Other-Interviews Modified
225751 Child Interview - Baseline Other-Interviews Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
09/30/2023 09/30/2023
3,815 3,815
5,391 5,103
0 0





table that charts list of burden
  Total Request 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 3,815 3,815 0 0 0 0
Annual Time Burden (Hours) 5,391 5,103 0 0 288 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No