Information Collection

Fathers and Continuous Learning in Child Welfare Project

IC 245105 under ICR 202105-0970-017 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 01_RevisedtoOPRE_Clean.docx Other-Other-Improvement Team Group I
Instrument 01_RevisedtoOPRE_Clean.docx Other-Other-Improvement Team Group I
Instrument 02_RevisedtoOPRE_Clean.docx Other-Other-Focus Group with Engagem
Instrument 02_RevisedtoOPRE_Clean.docx Other-Other-Focus Group with Engagem
Instrument 03_RevisedtoOPRE_Clean.docx Other-Other-Interview with Child Wel
Instrument 03_RevisedtoOPRE_Clean.docx Other-Other-Interview with Child Wel
Instrument 04_RevisedtoOPRE_Clean.docx Other-Other-Group Interview of Fathe
Instrument 04_RevisedtoOPRE_Clean.docx Other-Other-Group Interview of Fathe
Instrument 05_RevisedtoOPRE_Clean.docx Other-Other-Improvement Team Informa
Instrument 05_RevisedtoOPRE_Clean.docx Other-Other-Improvement Team Informa
Instrument 07_RevisedtoOPRE_Clean.docx Other-Other-Discussion Forum Prompts
Instrument 07_RevisedtoOPRE_Clean.docx Other-Other-Discussion Forum Prompts
Instrument 08_RevisedtoOPRE_Clean.docx Other-Other-Learning Session Day 1 E
Instrument 08_RevisedtoOPRE_Clean.docx Other-Other-Learning Session Day 1 E
Instrument 09_RevisedtoOPRE_Clean.docx Other-Other-Action Planning Form
Instrument 09_RevisedtoOPRE_Clean.docx Other-Other-Action Planning Form
Instrument 10_RevisedtoOPRE_Clean.docx Other-Other-Learning Session Overall
Instrument 10_RevisedtoOPRE_Clean.docx Other-Other-Learning Session Overall
Instrument 11_RevisedtoOPRE_Clean.docx Other-Other-Site Self-Assessment
Instrument 11_RevisedtoOPRE_Clean.docx Other-Other-Site Self-Assessment
Instrument 12_RevisedtoOPRE_Clean.docx Other-Other-PDSA Worksheet
Instrument 12_RevisedtoOPRE_Clean.docx Other-Other-PDSA Worksheet
Instrument 13_RevisedtoOPRE_Clean.docx Other-Other-Implementation Assessmen
Instrument 13_RevisedtoOPRE_Clean.docx Other-Other-Implementation Assessmen
Instrument 15_DrafttoOPRE.docx Other-Other-Elevator Speech Assignme
Instrument 15_DrafttoOPRE.docx Other-Other-Elevator Speech Assignme
Instrument 16_DrafttoOPRE.docx Other-Other-Spreading and Sustaining
Instrument 16_DrafttoOPRE.docx Other-Other-Spreading and Sustaining
Instrument 06_09.30.2019.docx Other-Other-Data Collection Planning
Instrument 06_09.30.2019.docx Other-Other-Data Collection Planning
Instrument 01_Improvement Team- Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 01_Improvement Team- Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 02_Engagement Team-Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 02_Engagement Team-Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 03_Senior Leader-Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 03_Senior Leader-Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 04_ FPR on Improvement Team - Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 04_ FPR on Improvement Team - Virtual Interview_CLEAN.docx Other-Other-Virtual Interview
Instrument 14_DraftoOPRE.docx Other-Other-Speed Sharing for Learni
Instrument 14_DraftoOPRE.docx Other-Other-Speed Sharing for Learni
50521 FCL_GenericClr_SSA_09.25_Clean.docx
Supporting Statement A - Fathers and Continuous Learning in Child Welfare Project
IC Document
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
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
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_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
NonSub Change Request - FCL GenIC_0970-0531_091820.docx
NonSub Change Request Memo - 3rd Learning Session - September 2020
IC Document
NOA_FCL_10.9.2020.pdf
NOA_FCL
IC Document
NOA_FCL_10.9.2020.pdf
NOA_FCL
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Other-Improvement Team Group Interview No   Paper Only
Other-Other-Focus Group with Engagement Strategy Staff No   Paper Only
Other-Other-Interview with Child Welfare Agency Leaders No   Paper Only
Other-Other-Group Interview of Fathers and Paternal Relatives on the Improvement Team No   Paper Only
Other-Other-Improvement Team Information Form Yes Yes Fillable Fileable
Other-Other-Discussion Forum Prompts Yes Yes Fillable Fileable
Other-Other-Learning Session Day 1 Evaluation Yes Yes Fillable Fileable
Other-Other-Action Planning Form Yes Yes Fillable Fileable
Other-Other-Learning Session Overall Evaluation Yes Yes Fillable Fileable
Other-Other-Site Self-Assessment Yes Yes Fillable Fileable
Other-Other-PDSA Worksheet Yes Yes Fillable Fileable
Other-Other-Implementation Assessment Yes Yes Fillable Fileable
Other-Other-Elevator Speech Assignment No   Paper Only
Other-Other-Spreading and Sustaining the Work Yes Yes Fillable Fileable
Other-Other-Data Collection Planning Worksheet Yes Yes Fillable Fileable
Other-Other-Virtual Interview No   Paper Only
Other-Other-Virtual Interview No   Paper Only
Other-Other-Virtual Interview No   Paper Only
Other-Other-Virtual Interview No   Paper Only
Other-Other-Speed Sharing for Learning Session 2 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,449 0 0 0 0 2,449
Annual IC Time Burden (Hours) 1,225 0 0 0 0 1,225
Annual IC Cost Burden (Dollars) 0 0 0 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 12/26/2020
Supporting Statement B - Fathers and Continuous Learning in Child Welfare Project 12/26/2020
Appendix 1 - Collaborative Change Framework 12/26/2020
NonSub Change Request - Virtual Interviews at 2 Sites 12/26/2020
NonSub Change Request Memo - 3rd Learning Session - September 2020 12/26/2020
NOA_FCL 12/26/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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