Information Collection Request

OPRE Study: National Survey of Child and Adolescent Well-Being Second Cohort (NSCAW III): Data Collection [Longitudinal Study]

ICR 202307-0970-005 · OMB 0970-0202 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix L_NSCAW III Phase I-II Site Selection and Sampling.docx Supplementary Document Uploaded 2023-07-19 Repair queued
Appx I-1_Remote HIPAA Authorization Forms_September 2021_clean.docx Supplementary Document Uploaded 2021-09-02 Repair queued
Appx H-1_Remote Data Linkage Forms_September 2021_clean.docx Supplementary Document Uploaded 2021-09-02 Repair queued
Appx G-2_Remote Consent and Assent Forms_March 2023_clean.docx Supplementary Document Uploaded 2023-07-17 Repair queued
Appx F-2a_Remote Adolescent Fact Sheet_March 2023.docx Supplementary Document Uploaded 2023-07-17 Repair queued
Appx F-2_Remote Lead Letters and Fact Sheets_March 2023.docx Supplementary Document Uploaded 2023-07-17 Missing upstream
Appx A-1_NSCAW Summary of Remote Interviews_September 2021_clean.docx Supplementary Document Uploaded 2021-09-02 Missing upstream
Appx G-1_Caseworker Telephone Mode Consent Form_New.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx F-1_Adolescent Fact Sheet_revised Jan 2021_New.docx Supplementary Document Uploaded 2021-01-11 Missing upstream
Supporting Statement PartB_NSCAW_July 2023 clean_fin.docx Supporting Statement B Uploaded 2023-07-19 Repair queued
Supporting Statement PartA_NSCAW_July 2023 clean_fin.docx Supporting Statement A Uploaded 2023-07-21 Repair queued
Appx A_NSCAW III_Summary of Interviews_clean 4.19.17v1.docx Supplementary Document Uploaded 2017-04-20 Repair queued
Appx I_HIPAA Authorization Forms_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx H_Data Linkage Forms_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx G_Consent and Assent Forms_revised_Jan2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued
Appx F_Lead Letters and Fact Sheets_Revised Jan 2021_Clean.docx Supplementary Document Uploaded 2021-01-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255471 Panel maintenance with NSCAW cohort members Other-Contact Card Modified
242354 Caseworker Survey Other-Survey Removed
242353 Supervisor Survey Other-Survey Removed
242352 Agency Director Survey Other-Survey Removed
225756 Caseworking Interview - 18-month follow-up Other-Interviews Modified
225755 Caregiver Interview - 18-month follow-up Other-Interviews/survey Modified
225754 Child Interview - 18-month follow-up Other-Interview/Survey Modified
225753 Caseworking Interview - Baseline Other-Interviews Removed
225752 Caregiver Interview - Baseline Other-Interviews Removed
225751 Child Interview - Baseline Other-Interviews Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2023
1,965 7,942
451 3,956
0 0





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 1,965 7,942 0 -1,059 -4,918 0
Annual Time Burden (Hours) 451 3,956 0 -1,389 -2,116 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No