Information Collection

Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

IC 251367 under ICR 202202-0970-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx	Other-Interview Protocol
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx	Other-Interview Protocol
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSA_ACF Program Support GenIC_PAE Usability Testing	IC Document
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSA_ACF Program Support GenIC_PAE Usability Testing	IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB_ACF Program Support GenIC_PAE Usability Testing	IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB_ACF Program Support GenIC_PAE Usability Testing	IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx Appendix B - PAE recruitment message for state CW directors	IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx Appendix B - PAE recruitment message for state CW directors	IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx Appendix C - PAE recruitment message for local area CW directors	IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx Appendix C - PAE recruitment message for local area CW directors	IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx Appendix D - PAE recruitment message for local agency staff	IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx Appendix D - PAE recruitment message for local agency staff	IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx Appendix E - PAE project description	IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx Appendix E - PAE project description	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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-Interview Protocol			Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx		Yes	Yes	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: 21

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA_ACF Program Support GenIC_PAE Usability Testing	Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx	01/31/2022
SSB_ACF Program Support GenIC_PAE Usability Testing	Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx	01/31/2022
Appendix B - PAE recruitment message for state CW directors	Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx	01/31/2022
Appendix C - PAE recruitment message for local area CW directors	Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx	01/31/2022
Appendix D - PAE recruitment message for local agency staff	Appendix D - PAE recruitment message for local agency staff 1.7.22.docx	01/31/2022
Appendix E - PAE project description	Appendix E - PAE project description_Clean_Jan 2022.docx	01/31/2022

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