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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix B_rev_10.10.23_clean.docx	Supplementary Document	Uploaded 2023-10-11	Repair queued
Appendix A_rev_10.10.23_clean.docx	Supplementary Document	Uploaded 2023-10-11	Missing upstream
SSB - Evaluation of the Toolkit_revision_Oct 2023.docx	Supporting Statement B	Uploaded 2023-10-11	Repair queued
SSA - Evaluation of the Toolkit_revision_Oct 2023.docx	Supporting Statement A	Uploaded 2023-10-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262763	Instrument 6: Focus group protocol	Other-Focus Group Protocol	New
257740	Instrument 5: Module-specific transfer potential and perceived competency items	Other-Survey	Modified
257739	Instrument 4: Survey of transfer potential and perceived competency	Other-Survey	Modified
257738	Instrument 3: Survey of PAE-related knowledge	Other-Survey	Modified
257737	Instrument 2: Survey of attitudes	Other-Survey	Modified
257735	Instrument 1: Survey of reactions to the toolkit	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0608	ICR Reference No: 202310-0970-006
Status: Received in OIRA	Previous ICR Reference No: 202301-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: CB
Title: Evaluation of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/13/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	412	384
Time Burden (Hours)	89	47
Cost Burden (Dollars)	0	0

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Abstract: The Children’s Bureau (CB) in the Administration on Children, Youth and Families (ACYF), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS) is partnering with the Centers for Disease Control and Prevention to support child welfare agency staff in the identification and support of children in the child welfare system living with prenatal substance exposure (PSE), including prenatal alcohol exposure (PAE). To this end, we are developing a toolkit of resources that child welfare agencies can use to: • Increase awareness, understanding, and knowledge of PAE/PSE; and • Plan and implement internal and cross-system processes, in partnership with key stakeholders, that help identify, assess/evaluate/screen, share information about, and provide care and support to children with prenatal exposure and their families. The CB is undertaking a multi-stage evaluation designed to understand the extent to which the toolkit is achieving these intended outcomes. The following activities will contribute to the evaluation: (1) usability testing and (2) a formative evaluation. The second stage of the evaluation builds on the first stage. Usability testing of the toolkit was conducted November 2022-March 2023 (under Formative Generic for Program Support OMB #0970-0531, exp 9/30/25) to gather feedback from child welfare staff in the field to determine the usability of toolkit modules before the toolkit is finalized. Based upon usability testing findings, an equity review was conducted and the toolkit has undergone modifications based upon the findings. Data collection for the formative evaluation was approved in April 2023 (OMB# 0970-0608, exp 4/30/26).

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Authorizing Statute(s): US Code: 42 USC 5105 Name of Law: Child Abuse Prevention and Treatment Act Reauthorization Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 47883	07/25/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 70993	10/13/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Instrument 1: Survey of reactions to the toolkit
Instrument 2: Survey of attitudes
Instrument 3: Survey of PAE-related knowledge
Instrument 4: Survey of transfer potential and perceived competency
Instrument 5: Module-specific transfer potential and perceived competency items
Instrument 6: Focus group protocol

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ICR Summary of Burden

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	412	384	0	28	0	0
Annual Time Burden (Hours)	89	47	0	42	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request to add an additional information collection to this study. Specifically, we have added focus groups and estimate conducting these discussions with up to 28 individuals.

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Annual Cost to Federal Government: $34,321

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/13/2023

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