OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Family Partners for Research Study

IC 269109 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Screener
Other-Child Assessment Parent Report
Other-Child Assessment Parent Report
Other-Questionnaire
Other-Questionnaire
Other-Child Assessment - Interviewer
Other-Child Assessment - Interviewer
Other-Play Session
Other-Play Session
Other-Interview
Other-Interview
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Family Partners for Research Study
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Instrument 1 - Parent Pre-Screener and Screening Call_revised_6.27.24_Clean.docx Yes Yes Fillable Fileable
Other-Child Assessment Parent Report Instrument 2 - Remote Child Well-Being Assessment by Parent Report_revised_6.27.24_Clean.docx Yes Yes Fillable Fileable
Other-Questionnaire Instrument 3 - Online Parent Feedback Questionnaire 6.19.24_CLEAN.docx Yes Yes Fillable Fileable
Other-Child Assessment - Interviewer Administered Instrument 4 - Parent In-Person Interviewer-Administered Child WellBeing Assessment 6_27_24_Clean.docx Yes Yes Fillable Fileable
Other-Play Session Instrument 5 - Child - In-Person Interviewer-Administered Play Session 6.19.24_CLEAN.docx Yes Yes Fillable Fileable
Other-Interview Instrument 6 - In-Person Parent Feedback Interview 6.19.24_CLEAN.docx Yes Yes Printable Only

Community and Social Services Social Services

 

140 0
   
Individuals or Households
 
   80 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 700 0 0 0 0 700
Annual IC Time Burden (Hours) 197 0 0 0 0 197
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Formative Research GenIC: Family Partners for Research Study Reimagining NSCAW Multi-Mode SSA 6.19.24_CLEAN.docx 07/01/2024
SSB - Formative Research GenIC: Family Partners for Research Study Reimagining NSCAW Multi-Mode SSB 6.25.24_CLEAN.docx 07/01/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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