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Federal forms, ICRs, and supporting documents

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National and State Survey of Child and Adolescent Well-Being (NSSCAW): Informing Site Selection and Recruitment Processes

IC 278292 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms
Document Name
Document Type
Other-Instrument 1: Site Survey
Other-Instrument 2: Site Survey Disc
Other-Instrument 3: Site Agreement T
Other-Instrument 4: Sampling Approac
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National and State Survey of Child and Adolescent Well-Being (NSSCAW): Informing Site Selection and Recruitment Processes OPRE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Instrument 1: Site Survey Instrument 1 - Site Survey 11.24.25.docx Yes Yes Fillable Fileable
Other-Instrument 2: Site Survey Discussion Guide Instrument 2 - Site Survey Discussion Guide 11.24.25.docx Yes Yes Printable Only
Other-Instrument 3: Site Agreement Template and Discussion Guide Instrument 3 - Site Agreement Template and Discussion Guide 11.24.25.docx Yes Yes Printable Only
Other-Instrument 4: Sampling Approach Discussion Guide Instrument 4 - Sampling Approach Discussion Guide 11.24.25.docx Yes Yes Printable Only

Community and Social Services Social Services

 

234 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 78 0 78 0 0 0
Annual IC Time Burden (Hours) 97 0 97 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Formative Research GenIC: NSSCAW: Informing Site Selection and Recruitment Processes SSA_NSSCAW Site Selection and Recruitment Processes 12-2-25 - clean.docx 12/03/2025
SSB Formative Research GenIC: NSSCAW: Informing Site Selection and Recruitment Processes SSB_NSSCAW Site Selection and Recruitment Processes 11.24.25 - clean.docx 12/03/2025
Appendix A - Site Outreach Materials Appendix A - Site Outreach Materials 11.24.25.docx 12/03/2025
Appendix B - Introductory Letter from ACF Appendix B - Introductory Letter from ACF 11.24.25.docx 12/03/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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