Cross-Site Evaluation of Children’s Bureau’s Child Welfare Technical Assistance Implementation Centers and National Child Welfare Resource Centers

Forms and Documents

Document Name	Status
Form 1 Implementation Project T/TA Activity Form and Instruction	New
Form 1 Implementation Project Information Form and Instruction	New
Form 1 Implementation Project Monthly Report Form and Instruction	New
Form 1 NRC T/TA Activity Form and Instruction	New
Form 1 NRC T/TA Close-Out Form and Instruction	New
Form 1 NRC T/TA Work Plan Form and Instruction	New
Form 1 General T/TA Event Form and Instruction	New
Form 1 Web-based Network Survey Form and Instruction	New
Form 1 Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	New
Form 1 Agency Results Survey Form and Instruction	New
SUPPORTING STATEMENT_5_26_2010 (3).doc Supporting Statement B	2010-05-27
SUPPORTING STATEMENT_5_26_2010 (3).doc Supporting Statement A	2010-05-27

IC Document Collections

IC ID	Document Title	Status
192098	Implementation Project T/TA Activity Form and Instruction	New
192097	Implementation Project Information Form and Instruction	New
192096	Implementation Project Monthly Report Form and Instruction	New
192095	NRC T/TA Activity Form and Instruction	New
192094	NRC T/TA Close-Out Form and Instruction	New
192093	NRC T/TA Work Plan Form and Instruction	New
192092	General T/TA Event Form and Instruction	New
192091	Web-based Network Survey Form and Instruction	New
192090	Training and Technical Assistance (T/TA) Activity Survey Form and Instruction	New
192089	Agency Results Survey Form and Instruction	New

ICR Details

OMB Control No: 0970-0377	ICR Reference No: 201002-0970-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Cross-Site Evaluation of Children’s Bureau’s Child Welfare Technical Assistance Implementation Centers and National Child Welfare Resource Centers
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/03/2010
	Date Received in OIRA: 02/24/2010
Terms of Clearance: OMB appreciates that ACF understands that the results of this collection will not be able to be used to establish causality between the practices of ACF grantees and observed State and Tribal outcomes. Further, findings from the purposive sample of Tribal child welfare agencies will not be generalizable beyond the survey respondents. As such, ACF will be sure to include appropriate caveats when reporting all results.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved
Responses	9,539	0	0
Time Burden (Hours)	2,136	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed information collection is necessary to track, monitor, and evaluate the activities of Federally-funded training and technical assistance providers that deliver services to State, local, Tribal, and other publicly administered or publicly supported child welfare agencies and family and juvenile courts. The proposed data collection instruments for review are: the Agency Results Survey, T/TA Activity Survey, Network Web-Based Survey, and seven forms that are part of the OneNet data system.

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Authorizing Statute(s): US Code: 42 USC 5106 Name of Law: Grants to States
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 48568	09/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 6399	02/09/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
NRC T/TA Close-Out	1	NRC T/TA Close Out
NRC T/TA Activity	1	NRC T/TA Activity
Agency Results Survey	1	Agency Results Survey
Training and Technical Assistance (T/TA) Activity Survey	1	Training and Technical Assistance Activity Survey
Web-based Network Survey	1	Web-based Network Survey
General T/TA Event	1	General T/TA Event
NRC T/TA Work Plan	1	NRC T/TA Work Plan
Implementation Project Monthly Report	1	Implementation Project Monthly Report
Implementation Project Information	1	Implementation Project Information
Implementation Project T/TA Activity	1	Implementation Project T/TA Activity

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,539	0	0	9,539	0	0
Annual Time Burden (Hours)	2,136	0	0	2,136	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $114,582

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/24/2010

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