Child & Family Services Plan (CFSP). Annual Progress & Services Report (APSR), & Annual Budget Expenses Request & Estimated Expenditures (CFS-101)

Forms and Documents

Document Name	Status
0980-0047 Part B - Supporting Statement.doc Supporting Statement B	2011-10-03
Supporting Statement 0980-0047.doc Supporting Statement A	2011-10-03

IC Document Collections

IC ID	Document Title	Status
184245	Caseworker Visit Data	Modified
184244	CFS-101, Parts I, II, and III Instruction	Modified
184243	Annual Progress and Services Report	Modified
184242	Child and Family Services Plan	Modified

ICR Details

OMB Control No: 0980-0047	ICR Reference No: 201107-0980-001
Status: Historical Active	Previous ICR Reference No: 200803-0980-002
Agency/Subagency: HHS/HDSO	Agency Tracking No:
Title: Child & Family Services Plan (CFSP). Annual Progress & Services Report (APSR), & Annual Budget Expenses Request & Estimated Expenditures (CFS-101)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2011
	Date Received in OIRA: 07/27/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	10/31/2011
Responses	562	0	657
Time Burden (Hours)	29,527	0	32,944
Cost Burden (Dollars)	0	0	0

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Abstract: Under title IV-B, subparts 1 & 2 of the Social Security Act, States/Tribes submit to the Dept a 5 year plan, or its annual update, and an annual budget request and estimated expenditure report. The plan is used by States/Tribes to develop and implement services and describe efforts with other federal, state and local programs. The update reports on activities, accomplishments and adjustments in the plan. The budget request is submitted annually with the plan or its update to apply for appropriated funds for the next fiscal year.

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Authorizing Statute(s): PL: Pub.L. 109 - 288 2 Name of Law: Child and Family Services
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 351 28 Name of Law: Fostering Connections to Succes

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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:
	75 FR 69446	11/12/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 35447	06/17/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Annual Progress and Services Report
Child and Family Services Plan
CFS-101, Parts I, II, and III	1, CFS-101, 1, 1	Part II ,   Annual Budget Expenses Request and Est. Expenditures ,   Part I ,   Part III
Caseworker Visit Data

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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	562	657	0	0	-95	0
Annual Time Burden (Hours)	29,527	32,944	150	0	-3,567	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: Public Law 110-351, The Fostering Connections to Success and Increasing Adoptions Act of 2008, added a requirement for States and Tribes to develop a plan for ongoing oversight and coordination of health care services for children in foster care. The health care oversight and coordination plan is due with the CFSP and updates are required in the APSR. Therefore, the burden estimate for the CFSP has been increased by 10 hours as an estimate of how long it will take to complete the plan for ongoing health care oversight and coordination plan. The burden estimate for the APSR has also been increased by 2 hours to reflect how long it will take to update the plan requirement annually. An adjustment was made to the number of CFSP, APSR, and CFS-101 respondents. This is not a result of a program change, but a more accurate number of respondents for the CFSP, APSR, and CFS-101. The adjusted number of respondents better reflects the number of Tribes responsible for completing the CFSP, APSR, and CFS-101. The estimated number of Tribal respondents has been decreased to 180. There are still 52 State and territory respondents. The new number of respondents is 232 State, Tribes, and territories, a significant decrease.

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Annual Cost to Federal Government: $0

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 07/27/2011

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