Information Collection

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

IC 254553 under ICR 202507-0970-008 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx Other-Interview Protocol
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx Other-Interview Protocol
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx
SSA - PAE Usability Testing
IC Document
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx
SSA - PAE Usability Testing
IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx
SSB - PAE Usability Testing
IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx
SSB - PAE Usability Testing
IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx
Appendix B - PAE recruitment message for state CW directors
IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx
Appendix B - PAE recruitment message for state CW directors
IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx
Appendix C - PAE recruitment message for local area CW directors
IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx
Appendix C - PAE recruitment message for local area CW directors
IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx
Appendix D - PAE recruitment message for local agency staff
IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx
Appendix D - PAE recruitment message for local agency staff
IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx
Appendix E - PAE project description
IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx
Appendix E - PAE project description
IC Document
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf
NOA - PAE Usability Testing
IC Document
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf
NOA - PAE Usability Testing
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Protocol Yes Yes Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 21 0 0 0 0 21
Annual IC Time Burden (Hours) 375 0 0 0 0 375
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - PAE Usability Testing 07/08/2022
SSB - PAE Usability Testing 07/08/2022
Appendix B - PAE recruitment message for state CW directors 07/08/2022
Appendix C - PAE recruitment message for local area CW directors 07/08/2022
Appendix D - PAE recruitment message for local agency staff 07/08/2022
Appendix E - PAE project description 07/08/2022
NOA - PAE Usability Testing 07/08/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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