GenIC ACF Gatherings - NCSACW Convening Attendee Recommendation Information Collection

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Request for Approval under the “Administration for Children and Families Generic for Information Collections Related to Gatherings”
(OMB Control Number: 0970-0617)

TITLE OF INFORMATION COLLECTION:  National Center on Substance Abuse and Child Welfare Convening Attendee Recommendation Information Collection
PURPOSE: The purpose of this survey is to collect information on individuals that respondents recommend for attendance at a planned convening. Information will be used for planning purposes. 
DESCRIPTION OF RESPONDENTS: Combination of state, local, and tribal representatives from child welfare, dependency court, substance use and mental health treatment, maternal and infant health, early childhood, and law enforcement systems; representatives from parent and child attorney groups and Guardian ad Litem groups; representatives from federally, state, local, and tribal funded agencies; community based agencies; federal representatives; and individuals with lived experience who can recommend individuals to attend a specific topical convening held by the National Center on Substance Abuse and Child Welfare (NCSACW). 

CERTIFICATION:
I certify the following to be true: 
    1. The collection is voluntary. 
    2. The collection is low-burden for respondents and low-cost for the Federal Government.
    3. The collection is non-controversial and does not raise issues of concern to other federal agencies.
    4. The information collected is not intended to be disseminated to the public1.		
    5. Information gathered will not be used for the purpose of substantially informing influential policy decisions. 
Name and affiliation: Surina Amin, Child Welfare Program Specialist
To assist review, please provide the following information:



BURDEN HOURS 
The estimated burden includes registration for about 6 total annual Convenings that may require attendee recommendations. The time to complete the questions is estimated to average about five minutes.
Instrument Title
Category of Respondent
No. of Respondents
Participation Time
Burden
NCSACW Convening Attendee Recommendation Information Collection
Private Sector 
50
5 minutes
4 hours
NCSACW Convening Attendee Recommendation Information Collection
State, Local, or Tribal Government
50
5 minutes
4 hours
Totals 

100 
5 minutes 
8 hours

FEDERAL COST: The estimated annual cost to the Federal government is $640. 

Administration of the Instrument
    1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media 
[  ] Telephone	
[  ] In-person	
[  ] Mail 
[  ] Other, Explain