FastTrack GenIC - CFSR Interview Protocol for CFSR State Leads and CFSR Specialists

Application - CFSR State Leads Specialists Interview Protocol_mj - Clean.docx

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

FastTrack GenIC - CFSR Interview Protocol for CFSR State Leads and CFSR Specialists

OMB: 0970-0401

Document [docx]
Download: docx | pdf

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0401)

Shape1 TITLE OF INFORMATION COLLECTION: Child and Family Services Reviews (CFSR) Interview Protocol for CFSR State Leads and CFSR Specialists


PURPOSE: The Capacity Building Collaborative’s Center for States (Center) CFSR services and supports are part of a continuous quality improvement process. Some states or jurisdictions have selected to receive Center services (e.g., data consultation, planning, and/or analysis; intervention selection, or partner engagement) typically to prepare for their jurisdiction’s Statewide Assessment. The purpose of the proposed Child and Family Services Reviews (CFSR) Interview Protocol for CFSR State Leads and CFSR Specialists is to understand CFSR State Leads’ and Specialists’ perspectives about increases in their jurisdiction capacity (e.g., knowledge, skills), their application, and initial transfer of any capacity changes (e.g., whether skills are being applied to other child welfare areas like prevention planning) that may be associated with the receipt of Center CFSR services and supports. These proposed interviews will be offered to all CFSR State Leads and CFSR Specialists who are/were involved with a jurisdiction that selected to receive Center services in relation to their jurisdiction’s Statewide Assessment.


The Center will use information collected to improve services and supports provided to states and jurisdictions. Responses will also be used to enhance the Center’s capacity development efforts among jurisdictions regarding the use of racial equity approaches, engagement of individuals with lived experience and/or expertise in the child welfare system, and confidence in incorporating these approaches.


DESCRIPTION OF RESPONDENTS: CFSR State Leads are leads for the CFSR process from public child welfare agencies in their respective states or jurisdictions that are receiving Center services. CFSR Specialists are federal contractors who are assigned to specific regions to provide support and guidance to specific states and jurisdictions throughout the CFSR process.


TYPE OF COLLECTION:


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [X] Other: Customer Satisfaction Interview


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The primary purpose of the results is not for public dissemination.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name and affiliation: Beth Claxon, Child Welfare Program Specialist, ACF Administration on

Children, Youth and Families (ACYF) 


To assist review, please provide answers to the following questions:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No


BURDEN HOURS


Information Collection

Category of Respondent

Annual No. of Respondents

Annual No. of Responses per Respondent

Estimated Time per Response

Annual Burden Hours

CFSR State Lead Interview Protocol

Individuals from State and Territory Governments

20

1

1

20

CFSR Specialist Interview Protocol

Individuals who are Federal Government Contractors

10

2*

1

20

Totals




40

*CFSR Specialists typically serve more than one jurisdiction. Given this, and the rolling nature of the CFSR process (jurisdictions compete the process at different times), some specialists may complete two interviews within a one-year period.


FEDERAL COST: The estimated annual cost to the Federal government is $11,799


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [X] Yes [ ] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


Jurisdictions and states may opt in to receive the Center’s Tailored Services CFSR Support Plans services. These proposed interviews will be offered to all the CFSR State Leads and CFSR Specialists who are/were involved with a jurisdiction that opted to receive these services in preparation for their Statewide Assessment. These interviews are designed to occur following the completion of their Statewide Assessment (in most instances) or other CFSR Support Plan objective.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain


  1. Will interviewers or facilitators be used? [ X] Yes [ ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

4

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2023-08-25

© 2024 OMB.report | Privacy Policy