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

Formative Data Collections for ACF Program Support

OMB: 0970-0531

IC ID: 254553

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

2024-03-05 - No material or nonsubstantive change to a currently approved collection
2024-01-25 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

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 - PAE Usability Testing IC Document
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSA - PAE Usability Testing IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB - PAE Usability Testing IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB - 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
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf NOA - PAE Usability Testing IC Document
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf NOA - PAE Usability Testing 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:	CB

IC Status: New

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
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 %

	Requested	Program Change Due to Agency Discretion
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

Title	Document	Date Uploaded
SSA - PAE Usability Testing	Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx	07/08/2022
SSB - PAE Usability Testing	Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx	07/08/2022
Appendix B - PAE recruitment message for state CW directors	Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx	07/08/2022
Appendix C - PAE recruitment message for local area CW directors	Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx	07/08/2022
Appendix D - PAE recruitment message for local agency staff	Appendix D - PAE recruitment message for local agency staff 1.7.22.docx	07/08/2022
Appendix E - PAE project description	Appendix E - PAE project description_Clean_Jan 2022.docx	07/08/2022
NOA - PAE Usability Testing	NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf	07/08/2022

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