OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Permanency Innovations Initiative (PII) Evaluation - Phase 4

ICR 201511-0970-001 · OMB 0970-0408 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Attachment B3 Caregiver Reminder Postcard English-Spanish 8-15.docx Supplementary Document Uploaded 2015-11-17 Repair queued
Attachment B2b Parent-Legal Guardian Questionnaire Distributor Script Spanish 10-15.docx Supplementary Document Uploaded 2015-11-17 Repair queued
Attachment B2a Parent-Legal Guardian Questionnaire Distributor Script 10-15.docx Supplementary Document Uploaded 2015-11-17 Available
Attachment B1b FAQ Letter for Caregivers Spanish 8-15.docx Supplementary Document Uploaded 2015-11-17 Repair queued
Attachment B1a FAQ Letter for Caregivers 8-15.docx Supplementary Document Uploaded 2015-11-17 Available
Attachment A2 CAPP Research Matrix .docx Supplementary Document Uploaded 2015-11-17 Repair queued
Attachment A1 PII Research Matrix.docx Supplementary Document Uploaded 2015-11-17 Available
PII - Nonsubstantive Change Request 10 7 2014.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-10-07 Repair queued
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document Uploaded 2014-06-30 Available
Attachment D1 Cross-Site Administrative Data Study Research Matrix 6 12 14.docx Supplementary Document Uploaded 2014-06-30 Available
Attachment C1 Cost Study Research Matrix.docx Supplementary Document Uploaded 2014-04-01 Repair queued
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document Uploaded 2014-06-30 Available
Attachment A PII Research Matrix.docx Supplementary Document Uploaded 2014-04-01 Available
SSB CAPP_2015-11-06.docx Supporting Statement B Uploaded 2015-11-17 Available
Attachment D6 RISE Posttest Reminder.docx Supplementary Document Uploaded 2013-05-22 Repair queued
Attachment D4 RISE ORB Summative Posttest Consent.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment D2 RISE ORB Summative Pretest BoR and Consent.docx Supplementary Document Uploaded 2013-05-22 Repair queued
Attachment D1 RISE Research Matrix.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment C10 DCFS CASI-ACASI Measures and Instruction Screens.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment C8 DCFS Youth FAQ Letter and Assent Form.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment C5 DCFS Foster Parent FAQ Letter and Consent Form.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment C2 DCFS Biological Parent FAQ Letter and Consent Script.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment C1 DCFS Research Matrix.docx Supplementary Document Uploaded 2013-05-22 Available
Attachment A1 Research Matrix for Implementation, KS, and Washoe Studies.docx Supplementary Document Uploaded 2013-05-22 Repair queued
Sample screen shot for web based surveys.JPG Supplementary Document Uploaded 2012-05-08 Repair queued
SSA CAPP_2015-11-06.docx Supporting Statement A Uploaded 2015-11-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
218900 CAPP Caregiver Questionnaire Other-Questionnaire New
218899 CAPP Parent-Legal Guardian Questionnaire Other-Questionnaire New
211060 D3: Admin Data file submission with added fields Instruction Modified
211059 D2: Admin Data file submission, no added fields Instruction Modified
211058 C7: Monthly Management/Administration Log Other-Log Unchanged
211057 C6: Weekly Supervision Activity Log Other-Log Unchanged
211056 C5: Weekly Casework Activity Log Other-Logs Unchanged
211055 C4: Trial Administration of Logs Other-Logs Unchanged
211054 C3: Cost Focus Group Guide Other-Discussion Guide Modified
211053 C2: Cost Study Focus Group Preparation Instruction Modified
211052 B10: RISE Staff Follow-Up Survey Other-Survey Modified
211050 B8: RISE Current Caregiver Interview Other-Interview Unchanged
211049 B7: RISE Permanency Resource Interview Other-Interview Modified
211048 B6: RISE Facilitator submission of CAFAS data Instruction Unchanged
211047 B5: RISE CCT Facilitator Survey Other-Survey Unchanged
211046 B4: RISE CCT Facilitator Interview (child burden) Other-Interview Modified
211045 B4: RISE CCT Facilitator Interview (facilitator burden) Other-Interview Modified
211044 B3: RISE Youth Qualitative Interview (ages 11-19) Other-Interview Modified
211043 B2: RISE Youth Interview (ages 11-19) Other-Interview Modified
207124 B9b: Revised RISE Staff Post-Test Other-Posttest Modified
207123 B9a: Revised RISE Staff Pre-Test Other-Pretest Removed
207122 DCFS Youth Interview Other-Interview Modified
207121 DCFS Foster Parent Interview Other-Interview Modified
207120 DCFS Youth and Foster Parent Study Contact Form Other-Contact Form Modified
207119 DCFS Biological Parent Interview Other-Interview Modified
207118 DCFS Biological Parent Study Contact Form Other-Contact Form Modified
202195 Washoe Family Assessment Battery Other-Assessment Battery Modified
202194 Caseworker discussions for NCFAS-G&R completion Other-Discussions Modified
202193 CAFAS/PECFAS Other-CAFAS/PECFAS Modified
202192 Family Assessment Battery Other-Assessment Battery Modified
202191 Caregiver Initial Information Form Other-Info Form Modified
202190 Fidelity Data (Implementation Quotient Tracker) Other-Quotient Tracker Modified
202189 Grantee Case Study Protocol Other-Protocol Modified
202188 Implementation Drivers Web Survey Other-Survey Modified
202187 Survey of Organization/System Readiness Other-Survey Modified
ICR Details
0970-0408 201511-0970-001
Historical Inactive 201410-0970-003
HHS/ACF 19658
Permanency Innovations Initiative (PII) Evaluation - Phase 4
Revision of a currently approved collection   No
Regular
Withdrawn and continue 02/24/2016
Retrieve Notice of Action (NOA) 11/24/2015
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved 07/31/2017
13,355 0 13,355
6,863 0 6,863
0 0 0
The Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), requests permission to collect data for an evaluation of the Permanency Innovations Initiative (PII). This 5-year initiative, funded by the Children's Bureau (CB) within ACF, will build the evidence base for innovative interventions that enhance well-being and improve permanency outcomes for particular groups of children and youth who are at high risk for long-term foster care and who experience the most serious barriers to timely permanency. A major emphasis of the PII is the design of rigorous evaluations that will provide credible evidence and replicable interventions for achieving faster permanency for children and youth in foster care. OMB has approved information collection activities for the cross-site implementation study, cost study, and administrative data study and four site-specific impact evaluations. This current request is for another site-specific impact evaluation.
US Code: 42 USC 626 Name of Law: Social Security Act; Research, training, or demonstration projects
  
None
Not associated with rulemaking
  79 FR 75556 12/18/2014
80 FR 71809 11/17/2015
No
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This request is for additional information collection under 0970-0408, which increases burden under this number. We have also updated current burden to reflect completed data collection.
$1,800,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Buck 202 205-4724 [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.
11/24/2015