OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement At-Risk of Homelessness

ICR 201401-0970-003 · OMB 0970-0445 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
YARH Supporting Statement B revised 3 28 14.docx Supporting Statement B Uploaded 2014-03-28 Available
Attachment 3_YARH Supporting Documents.docx Supplementary Document Uploaded 2014-01-14 Available
YARH Supporting Statement A revised 3 28 14.docx Supporting Statement A Uploaded 2014-03-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
210995 Discussion Guide: Focus Groups Other-Discussion Guide New
210994 Discussion Guide: Individual Interviews Other-Discussion Guide New
210993 Communications for Site Visit Planning Instruction New
210089 Survey of Organizational Readiness and Partnership Other-Survey New
210088 Survey Sampling Form Other-Sampling Form New
ICR Details
0970-0445 201401-0970-003
Historical Active
HHS/ACF 21317
Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement At-Risk of Homelessness
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/01/2014
Retrieve Notice of Action (NOA) 01/17/2014
  Inventory as of this Action Requested Previously Approved
04/30/2016 24 Months From Approved
450 0 0
514 0 0
0 0 0
The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for data collection activities with grantee and partner organizations that are receiving planning grant funds through the Children's Bureau (CB) in ACF. These activities will include (1) a survey sampling form to gather contact information for survey respondents and (2) a survey instrument to be used for the process study of efforts by grantees to develop model intervention programs during a two-year period.
PL: Pub.L. 106 - 169 477 Name of Law: Foster Care Independence Act (FCIA) of 1999 amending Title IV-E of the Social Security Act
  
None
Not associated with rulemaking
  78 FR 58309 09/23/2013
79 FR 3209 01/17/2014
No
  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 450 0 0 450 0 0
Annual Time Burden (Hours) 514 0 0 514 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$59,999
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Karl Koerper 202 401-4535 [email protected]
  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.
01/17/2014