OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance

ICR 201312-0970-003 · OMB 0970-0444 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VIIB Household Ros Data entry for comparison study sites - Government Form and Instruction New Repair queued
Form VIIB Household Ros Data entry for comparison study sites - Private sector Form and Instruction New Available
Form VIB Household Rost Report Administrative data - Government Form and Instruction New Available
Form VIB Household Rost Report administrative data - Private Sector Form and Instruction New Repair queued
Form VA Partner Survey Partner Survey - Government Form and Instruction New Available
Form VA Partner Survey Partner Survey - Private Sector Form and Instruction New Repair queued
Form IVA Staff Survey Staff Survey - Government Form New Available
Form IVA Staff Survey Staff Survey - Private Sector Form New Available
Form IIB Description of Semi-annual progress reports - Government Form and Instruction New Available
Form IIA Semi-Annual Pr Semi-annual progress reports - Private Sector Form and Instruction New Repair queued
Form IA Interview Topic Program Director Individual Interview - Government Form and Instruction New Available
Form IA Interview Topic Program Director Individual Interview - Private Sector Form and Instruction New Available
Part_B.docx Supporting Statement B Uploaded 2013-12-20 Available
VIII Copy of legislation.pdf Supplementary Document Uploaded 2013-12-20 Available
VIIA Standardized Instruments.pdf Supplementary Document Uploaded 2013-12-09 Available
VIIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Available
VIIA Standardized Instruments.pdf Supplementary Document Uploaded 2013-12-09 Available
VIIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Available
VIA Standardized Instruments.pdf Supplementary Document Uploaded 2013-12-09 Available
VIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Available
VIA Standardized Instruments.pdf Supplementary Document Uploaded 2013-12-09 Available
VIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Available
VIC Administrative Data Elements.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VH Partner Survey Thank-You Email.pdf Supplementary Document Uploaded 2013-12-09 Available
VG Partner Survey Grantee Reminder Request.pdf Supplementary Document Uploaded 2013-12-09 Available
VF Partner Survey Final Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VE Partner Survey Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VD Partner Survey Email Invitation.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VC Partner Survey Advance Email.pdf Supplementary Document Uploaded 2013-12-09 Available
VB Partner Survey FAQ.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VH Partner Survey Thank-You Email.pdf Supplementary Document Uploaded 2013-12-09 Available
VG Partner Survey Grantee Reminder Request.pdf Supplementary Document Uploaded 2013-12-09 Available
VF Partner Survey Final Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VE Partner Survey Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Available
VD Partner Survey Email Invitation.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
VC Partner Survey Advance Email.pdf Supplementary Document Uploaded 2013-12-09 Available
VB Partner Survey FAQ.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
IVG Staff Survey Grantee Reminder Request.pdf Supplementary Document Uploaded 2013-12-09 Available
IVF Staff Survey Final Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Available
IVE Staff Survey Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Available
IVC Staff Survey Advance Email.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
IVB Staff Survey FAQ.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
IVD Staff Survey Email Invitation.pdf Supplementary Document Uploaded 2013-12-09 Available
IVG Staff Survey Grantee Reminder Request.pdf Supplementary Document Uploaded 2013-12-09 Available
IVF Staff Survey Final Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Available
IVE Staff Survey Reminder Email.pdf Supplementary Document Uploaded 2013-12-09 Available
IVC Staff Survey Advance Email.pdf Supplementary Document Uploaded 2013-12-09 Available
IVB Staff Survey FAQ.pdf Supplementary Document Uploaded 2013-12-09 Available
IVD Staff Survey Email Invitation.pdf Supplementary Document Uploaded 2013-12-09 Repair queued
III Enrollment and Service Log Data Dictionary_rev copy.pdf Supplementary Document Uploaded 2013-12-09 Available
III Enrollment and Service Log Data Dictionary_rev copy.pdf Supplementary Document Uploaded 2013-12-09 Available
III Enrollment and Service Log Data Dictionary_rev copy.pdf Supplementary Document Uploaded 2013-12-09 Available
III Enrollment and Service Log Data Dictionary_rev copy.pdf Supplementary Document Uploaded 2013-12-09 Available
IB Site Visit Informant Form.pdf Supplementary Document Uploaded 2013-12-06 Available
Part_A revised 12-3-13 clean.docx Supporting Statement A Uploaded 2013-12-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
209841 Data entry for comparison study sites - Government Form and Instruction New
209840 Data entry for comparison study sites - Private sector Form and Instruction New
209839 Review records and submit data electronically - Government New
209838 Review records and submit data electronically - Private Sector New
209837 Enter data into local databases - Government New
209836 Enter data into local databases - Private Sector New
209835 Review and adopt reporting templates - Government New
209834 Review and adopt reporting templates - Private Sector New
209833 Report Administrative data - Government Form and Instruction New
209832 Report administrative data - Private Sector Form and Instruction New
209831 Obtain access to administrative data - Government New
209830 Obtain Access to Administrative Data - Private Sector New
209829 Partner Survey - Government Form and Instruction New
209828 Partner Survey - Private Sector Form and Instruction New
209827 Staff Survey - Government Form New
209826 Staff Survey - Private Sector Form New
209825 Service Log Entries - Government New
209824 Service log entries - Private Sector New
209823 Case Enrollment Data - Government New
209822 Case enrollment data - Private Sector New
209821 Semi-annual progress reports - Government Form and Instruction New
209820 Semi-annual progress reports - Private Sector Form and Instruction New
209819 Frontline staff individual interview - Government Other-Interview Topic Guide New
209818 Frontline staff individual interview - Private sector Other-Interview Topic Guide New
209817 Program manger/supervisor individual interview - Government Other-Interview Topic Guide New
209816 Program manger/supervisor individual interview - Private Sector Other-Interview Topic Guide New
209815 Program manager/supervisor group interview - Government Other-Interview Topic Guide New
209814 Program Manager/Supervisor Group Interview - Private Sector Other-Interview Topic Guide New
209813 Program Director Individual Interview - Government Form and Instruction New
209812 Program Director Individual Interview - Private Sector Form and Instruction New
ICR Details
0970-0444 201312-0970-003
Historical Active
HHS/ACF 21073
Regional Partnership Grants National Cross-Site Evaluation and Evaluation Technical Assistance
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/18/2014
Retrieve Notice of Action (NOA) 12/20/2013
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved
81,968 0 0
18,860 0 0
0 0 0
The Children's Bureau seeks approval to collect information for the Regional Partnership Grants to Increase the Well-being of and Improve Permanency Outcomes for Children Affected by Substance Abuse (i.e., Regional Partnership Grants Program or "RPG") Cross-Site Evaluation and Evaluation-Related Technical Assistance project (the "RPG Cross-Site Evaluation"). The overall objective of the RPG Cross-Site Evaluation is to plan, develop, and implement a rigorous national cross-site evaluation of the RPG Grant Program, provide legislatively-mandated performance measurement, and furnish evaluation-related technical assistance to the grantees to improve the quality and rigor of their local evaluations. The project will document the programs and activities conducted through the RPG program and assess the extent to which the grants have been successful in addressing the needs of families with substance abuse problems who come to the attention of the child welfare system.
PL: Pub.L. 112 - 34 437 Name of Law: Child and Family Services Improvement Act
  
None
Not associated with rulemaking
  78 FR 57641 09/19/2013
78 FR 72679 12/03/2013
No
30
IC Title Form No. Form Name
Program Director Individual Interview - Private Sector IA Interview Topic Guide, IB Site Visit Informant Form IA Interview Topic Guide ,   IB Site Visit Informant Form
Program Director Individual Interview - Government IA Interview Topic Guide IA Interview Topic Guide
Program Manager/Supervisor Group Interview - Private Sector IB Site Visit Informant Form IB Site Visit Informant Form
Program manager/supervisor group interview - Government IB Site Visit Informant Form IB Site Visit Informant Form
Program manger/supervisor individual interview - Private Sector IB Site Visit Informant Form IB Site Visit Informant Form
Program manger/supervisor individual interview - Government IB Site Visit Informant Form IB Site Visit Informant Form
Frontline staff individual interview - Private sector IB Site Visit Informant Form IB Site Visit Informant Form
Frontline staff individual interview - Government IB Site Visit Informant Form IB Site Visit Informant Form
Semi-annual progress reports - Private Sector IIA Semi-Annual Progress Report Form, IIB Description of Evidence-Based Practices, IIC Description of Other Services and Activities, IID Description of Partnerships, IIE Adherence Form IIA Semi-Annual Progress Report Form ,   IIB Description of Evidence-Based Practices ,   IIC Description of Other Services and Activities ,   IID Description of Partnerships ,   IIE Adherence Form
Semi-annual progress reports - Government IIB Description of Evidence-Based Practices, IIA Semi-Annual Progress Report Form, IIC Description of Other Services and Activities, IID Description of Partnerships, IIE Adherence Form IIB Description of Evidence-Based Practices ,   IIA Semi-Annual Progress Report Form ,   IIC Description of Other Services and Activities ,   IID Description of Partnerships ,   IIE Adherence Form
Enter data into local databases - Private Sector
Enter data into local databases - Government
Review records and submit data electronically - Private Sector
Review records and submit data electronically - Government
Data entry for comparison study sites - Private sector VIIB Household Roster VIIB Household Roster
Data entry for comparison study sites - Government VIIB Household Roster VIIB Household Roster
Case enrollment data - Private Sector
Case Enrollment Data - Government
Service log entries - Private Sector
Service Log Entries - Government
Staff Survey - Private Sector IVA Staff Survey IVA Staff Survey
Staff Survey - Government IVA Staff Survey IVA Staff Survey
Partner Survey - Private Sector VA Partner Survey VA Partner Survey
Partner Survey - Government VA Partner Survey VA Partner Survey
Obtain Access to Administrative Data - Private Sector
Obtain access to administrative data - Government
Report administrative data - Private Sector VIB Household Roster VIB Household Roster
Report Administrative data - Government VIB Household Roster VIB Household Roster
Review and adopt reporting templates - Private Sector
Review and adopt reporting templates - Government
  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 81,968 0 0 81,968 0 0
Annual Time Burden (Hours) 18,860 0 0 18,860 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$1,157,654
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Robert Sargis 2026907275
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/20/2013