Information Collection Request

ACF Behavioral Interventions to Advance Self-Sufficiency Next Generation (BIAS-NG) Project

ICR 202206-0970-002 · OMB 0970-0502 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix A 5_Client Survey-10.14.docx Supplementary Document Uploaded 2017-07-20 Repair queued
Appendix A 4_Staff Survey-10.14.docx Supplementary Document Uploaded 2017-07-20 Repair queued
Appendix A 3_Protocol for Clients.docx Supplementary Document Uploaded 2017-07-20 Missing upstream
Appendix A 2_Protocol for Staff.docx Supplementary Document Uploaded 2017-07-20 Repair queued
Appendix A 1_Protocol for Administrators.docx Supplementary Document Uploaded 2017-07-20 Repair queued
BIAS-NG Generic Supporting Statement A_ext request_revised 6_10_22.docx Supporting Statement A Uploaded 2022-06-10 Repair queued
BIAS-NG Generic Supporting Statement B_extension_5.23.22 clean.docx Supporting Statement B Uploaded 2022-06-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254076 Hennepin County (child welfare) – Phase 3 Data Collection Other-Interview/Focus Group New
254075 Matrix/Starfish (EHS/HS) – Phase 3 Data Collection Other-Interview/Focus Group New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2022
31,250 14,706
7,433 5,418
37,684 67,704





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Hennepin County (child welfare) – Phase 3 Data Collection
Matrix/Starfish (EHS/HS) – Phase 3 Data Collection

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 31,250 14,706 0 16,544 0 0
Annual Time Burden (Hours) 7,433 5,418 0 2,015 0 0
Annual Cost Burden (Dollars) 37,684 67,704 0 -30,020 0 0


Reginfo record details
  No