Foster Care and Substance Use Survey

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Document Name Document Type
Attachment A_Mixed Methods Study Site Selection Criteria.docx Other-study
Attachment C_Child welfare administrators discussion guide.docx Other-discussion guide
Attachment D_Child welfare practitioners discussion guide.docx Other-discussion guide
Attachment E_ Substance use treatment practitioners discussion guide.docx Other-discussion guide
Attachment F_Substance use administrators discussion guide.docx Other-discussion guide
Attachment G_Other administrators and practitioners discussion guide.docx Other-discussion guide
ASPE Generic - cover sheet_foster care and substance use.doc Cover memo IC Document
SupportingStatement A - ASPE Generic_foster care and substance use_4.24.17.docx SS_A IC Document
SupportingStatement B - ASPE Generic_foster care and substance use.docx SS_B IC Document
Attachment B_Counties Selected for Site Visits.xlsx selected site visit IC Document

Information Collection (IC) Details

IC Title:	Foster Care and Substance Use Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-discussion guide	Attachment E_ Substance use treatment practitioners discussion guide.docx	No		Paper Only
Other-discussion guide	Attachment F_Substance use administrators discussion guide.docx	No		Paper Only
Other-discussion guide	Attachment G_Other administrators and practitioners discussion guide.docx	No		Paper Only
Other-study	Attachment A_Mixed Methods Study Site Selection Criteria.docx	Yes	No	Fillable Fileable
Other-discussion guide	Attachment C_Child welfare administrators discussion guide.docx	No		Fillable Fileable
Other-discussion guide	Attachment D_Child welfare practitioners discussion guide.docx	No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	265	265
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover memo	ASPE Generic - cover sheet_foster care and substance use.doc	05/02/2017
SS_A	SupportingStatement A - ASPE Generic_foster care and substance use_4.24.17.docx	05/02/2017
SS_B	SupportingStatement B - ASPE Generic_foster care and substance use.docx	05/02/2017
selected site visit	Attachment B_Counties Selected for Site Visits.xlsx	05/02/2017

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