Information Collection

[NICPC] Child Abuse and Neglect Prevention Message Development

IC 264017 under ICR 202507-0920-010 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

2026-01-29 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-24BQ Att 1. CAN Survey and Consent [NICPC] Child Abuse and Neglect Prevention Message Development	Form and Instruction
Form 0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener 11.21.23 [NICPC] Child Abuse and Neglect Prevention Message Development	Form and Instruction
Form 0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener rev [NICPC] Child Abuse and Neglect Prevention Message Development	Form and Instruction
0920-24BQ Att 1. CAN Survey and Consent Att 1. CAN Survey and Consent.docx	Form and Instruction
0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener 11. Att 3. CAN Focus Group Eligible Participant Screener 11.21.23.docx	Form and Instruction
0920-24BQ Att 3. CAN Focus Group Eligible Participant Screener rev Att 3. CAN Focus Group Eligible Participant Screener.docx	Form and Instruction
Supporting Statement A (0920-1154)_CAN.docx Supporting Statement A (0920-1154)_CAN	IC Document
Supporting Statement B (0920-1154)_CAN.docx Supporting Statement B (0920-1154)_CAN	IC Document
Att 9. STARS Determination_ACEs and CAN Message Testing.docx Att 9. STARS Determination_ACEs and CAN Message Testing	IC Document
Att 2. CAN Survey Screenshots.pdf Survey Screenshots	IC Document
Att 4. CAN Focus Group Guide and Consent_Consumers.docx Att 4. CAN Focus Group Guide and Consent_Consumers	IC Document
Att 5. CAN Focus Group Guide and Consent_Parents.docx Att 5. CAN Focus Group Guide and Consent_Parents	IC Document
Att 6. CAN Focus Group Guide and Consent_DirectServiceProviders.docx Att 6. CAN Focus Group Guide and Consent_DirectServiceProviders	IC Document
Att 7. CAN Partner Interview Guide and Consent.docx Att 7. CAN Partner Interview Guide and Consent	IC Document
Att 8. Privacy Impact Assessment.pdf Att 8. Privacy Impact Assessment	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NICPC] Child Abuse and Neglect Prevention Message Development

Agency IC Tracking Number:

0920-1154-24BQ

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-24BQ	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BQ	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BQ	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 189

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	189	189
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A (0920-1154)_CAN		12/20/2023
Supporting Statement B (0920-1154)_CAN		12/20/2023
Att 9. STARS Determination_ACEs and CAN Message Testing		12/20/2023
Survey Screenshots		12/20/2023
Att 4. CAN Focus Group Guide and Consent_Consumers		12/20/2023
Att 5. CAN Focus Group Guide and Consent_Parents		12/20/2023
Att 6. CAN Focus Group Guide and Consent_DirectServiceProviders		12/20/2023
Att 7. CAN Partner Interview Guide and Consent		12/20/2023
Att 8. Privacy Impact Assessment		12/20/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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