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Tribal Continuous Quality Improvement Collaboratives
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 245093
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202107-0970-003
IC 245093
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-12-17 - No material or nonsubstantive change to a currently approved collection
2024-11-12 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1 - PDSA Planning Tool Instructions_FINAL 02.06.20.docx
Instruction
Instrument 1 - PDSA Planning Tool Instructions_FINAL 02.06.20.docx
Instruction
Instrument 1 - PDSA Planning Tool_FINAL.docx
Other-Planning Tool
Instrument 1 - PDSA Planning Tool_FINAL.docx
Other-Planning Tool
INSTRU~1.XLS
Other-Template
INSTRU~1.XLS
Other-Template
INSTRU~2.XLS
Other-Template
INSTRU~2.XLS
Other-Template
Generics Supporting Statement A - Tribal CQIC Revised. 02-07-20. clean.docx
Supporting Statement A - Formative Generic Program Support: Tribal CQIC
IC Document
Generics Supporting Statement A - Tribal CQIC Revised. 02-07-20. clean.docx
Supporting Statement A - Formative Generic Program Support: Tribal CQIC
IC Document
NOA - Formative Generic Program Support_Tribal CQI Collabs_0970-0531_2.19.20.pdf
NOA - Tribal Continuous Quality Improvement Collaboratives
IC Document
NOA - Formative Generic Program Support_Tribal CQI Collabs_0970-0531_2.19.20.pdf
NOA - Tribal Continuous Quality Improvement Collaboratives
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal Continuous Quality Improvement Collaboratives
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Instrument 1 - PDSA Planning Tool Instructions_FINAL 02.06.20.docx
Yes
No
Printable Only
Other-Planning Tool
Instrument 1 - PDSA Planning Tool_FINAL.docx
Yes
Yes
Fillable Fileable
Other-Template
INSTRU~1.XLS
Yes
Yes
Fillable Fileable
Other-Template
INSTRU~2.XLS
Yes
Yes
Fillable Fileable
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:
19
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
380
0
0
0
0
380
Annual IC Time Burden (Hours)
950
0
0
0
0
950
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - Formative Generic Program Support: Tribal CQIC
Generics Supporting Statement A - Tribal CQIC Revised. 02-07-20. clean.docx
12/23/2020
NOA - Tribal Continuous Quality Improvement Collaboratives
NOA - Formative Generic Program Support_Tribal CQI Collabs_0970-0531_2.19.20.pdf
12/23/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.