Information Collection

Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches

IC 277173 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1. Toolkit Feedback and Reflection (TFAR) Questionnaire.docx	Other-Survey
Instrument 2. Interview Protocol.docx	Other-Interview Protocol
BWFA_PRA Generic_Formative for ACF Program Support - 2024.10.08_fnl.docx SSA - Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches	IC Document
Appendix A. Email request to complete TFAR questionnaire.docx Appendix A. Email request to complete TFAR questionnaire	IC Document
Appendix B. Email invitation to participate in interview.docx Appendix B. Email invitation to participate in interview	IC Document
NOA_IOAS BWFA GenIC_Prog Supp_0970-0531_10.10.24.pdf NOA - Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches	IC Document

IC Title:

Agency IC Tracking Number:

IOAS

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-Survey					Yes	Yes	Fillable Fileable
Other-Interview Protocol					Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	576	576
Annual IC Time Burden (Hours)	296	296
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches		08/22/2025
Appendix A. Email request to complete TFAR questionnaire		08/22/2025
Appendix B. Email invitation to participate in interview		08/22/2025
NOA - Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches		08/22/2025

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

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