OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Cross-site Evaluation Survey of 2012 Family Connection Grantees

ICR 201502-0970-010 · OMB 0970-0456 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Evaluator Protocol Form and Instruction New Available
Form 1 Community Partner Protocol Form and Instruction New Repair queued
Form 1 Public Child Welfare Partner Protocol Form and Instruction New Repair queued
Form 1 Service Provider Protocol Form and Instruction New Available
Form 1 Project Leadership Protocol Form and Instruction New Repair queued
APPENDIX II Surveys.pdf Supplementary Document Uploaded 2015-06-18 Repair queued
APPENDIX I Attachments A-J 6-17-15.pdf Supplementary Document Uploaded 2015-06-18 Available
Part A-Cross Site Evaluation for 2012 - THE SUPPORTING STATEMENT.docx Supporting Statement A Uploaded 2015-06-18 Available
Part B - Cross Site Evaluation for 2012 -THE SUPPORTING STATEMENT.docx Supporting Statement B Uploaded 2015-06-18 Available
IC Document Collections
IC IDCollectionTypeStatusForm
215176 Evaluator Protocol Form and Instruction New
215175 Community Partner Protocol Form and Instruction New
215174 Public Child Welfare Partner Protocol Form and Instruction New
215173 Service Provider Protocol Form and Instruction New
215172 Project Leadership Protocol Form and Instruction New
ICR Details
0970-0456 201502-0970-010
Historical Active
HHS/ACF CB
Cross-site Evaluation Survey of 2012 Family Connection Grantees
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/22/2015
Retrieve Notice of Action (NOA) 03/17/2015
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved
351 0 0
192 0 0
0 0 0
In the interest of providing as complete an evaluation report as possible by the end of FY15, the Children's Bureau has directed the contractor conducting the Cross-site Evaluation to adopt the most efficient means possible to collect process evaluation data from grantees. The proposed electronic survey will replace originally planned in-person and telephone discussions with electronic surveys. This will enable collection of key information on project design, implementation, maintenance, and sustainability from key grantee representatives in an abbreviated amount of time. The quantitative nature of the surveys will enable rapid data analysis and reporting.
PL: Pub.L. 113 - 183 221 Name of Law: Sex Trafficking and Strengthening Families Act
  
None
Not associated with rulemaking
  79 FR 67167 11/12/2014
80 FR 6520 02/05/2015
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 351 0 0 351 0 0
Annual Time Burden (Hours) 192 0 0 192 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New collection.
$105,000
No
No
Yes
Yes
Yes
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.
03/17/2015