Instrument F: Sample Program Document Request

CHAFEE STRENGTHENING OUTCOMES FOR

TRANSITION TO ADULTHOOD (CHAFEE SOTA)

Sample Program Documents Request

We will identify and review program documents on each of the programs identified for inclusion in the Chafee SOTA evaluation.

Documents may include

• Logic models

• Program summaries/infographics

• Annual program reports

• Program curriculum

• Training materials/Practice guides

• Replication guides

• Reports for previous evaluations or evaluability assessments

• Published articles

• Data dictionaries

• Participation surveys (blank)

• Provider maps

PAPERWORK REDUCTION ACT OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to inform programming by building the evidence about what works to improve outcomes for youth transitioning from foster care, and to identify innovative learning methods that address common evaluation challenges. Public reporting burden for this collection of information is estimated to average 1 hour per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0XXX and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact KathrynHenderson@westat.com.

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