OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Child Welfare Capacity Building Collaborative

ICR 201602-0970-011 · OMB 0970-0484 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Annual Collaboration Survey Form and Instruction New Available
Form 1 Leadership Interview Part II - Tribes Form and Instruction New Repair queued
Form 1 Leadership Interview - Tribes Form and Instruction New Available
Form 1 Leadership Interview - CIPS Form and Instruction New Available
Form 1 Leadership Interview - States and Territories Form and Instruction New Available
Form 1 Center for Courts CQI Workshops Form and Instruction New Repair queued
Form 1 CIP Annual Meeting Survey Form and Instruction New Available
Form 1 Center for States Brief Tailored Services Survey Form and Instruction New Repair queued
Form 1 Center for States Constituency Groups Survey Form and Instruction New Repair queued
Form 1 Center for States Intensive Projects Survey Form and Instruction New Repair queued
Form 1 Center for States Information and Referral Survey Form and Instruction New Available
Form 1 Tribal Organizational Assessment Family Interview Form and Instruction New Repair queued
Form 1 Tribal Organizationall Assessment Community Member/Elder Form and Instruction New Repair queued
Form 1 Tribal Organizational Assessessment Community Provider Interview Form and Instruction New Available
Form 1 Tribal Organizational Assessment Caseworker Interview Form and Instruction New Available
Form 1 Center for Tribes Needs and Fit Exploration Tool Phase 2 Form and Instruction New Repair queued
Form 1 Center for Tribes Needs and Fit Exploration Tool Phase 1 Form and Instruction New Available
Form 1 Center for Tribes Demographic Survey Form and Instruction New Repair queued
Form 1 Center for Tribes Contact Form Form and Instruction New Available
Form 1 Assessment & Capacity Building Plan Satisfaction Survey Form and Instruction New Repair queued
Form 1 Webinars, Events, and In-Person Meetings Satisfaction Survey Form and Instruction New Repair queued
Form 1 Learning Experiences Survey (intensive) Form and Instruction New Available
Form 1 Learning Experiences Satisfaction Survey (single) Form and Instruction New Repair queued
Form 1 Webpages and Products Satisfaction Survey Form and Instruction New Repair queued
Demographic survey template Reviewed_June_2016.docx Supplementary Document Uploaded 2016-08-24 Available
Part B-CAP-B SUPPORTING STATEMENT 2-26-16 .docx Supporting Statement B Uploaded 2016-03-07 Available
Part A-SUPPORTING STATEMENT FOR.docx Supporting Statement A Uploaded 2016-03-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
220284 Annual Collaboration Survey Form and Instruction New
220283 Leadership Interview Part II - Tribes Form and Instruction New
220282 Leadership Interview - Tribes Form and Instruction New
220281 Leadership Interview - CIPS Form and Instruction New
220280 Leadership Interview - States and Territories Form and Instruction New
220279 Center for Courts CQI Workshops Form and Instruction New
220278 CIP Annual Meeting Survey Form and Instruction New
220277 Center for States Brief Tailored Services Survey Form and Instruction New
220276 Center for States Constituency Groups Survey Form and Instruction New
220275 Center for States Intensive Projects Survey Form and Instruction New
220274 Center for States Information and Referral Survey Form and Instruction New
220273 Tribal Organizational Assessment Family Interview Form and Instruction New
220272 Tribal Organizationall Assessment Community Member/Elder Form and Instruction New
220271 Tribal Organizational Assessessment Community Provider Interview Form and Instruction New
220269 Tribal Organizational Assessment Caseworker Interview Form and Instruction New
220268 Center for Tribes Needs and Fit Exploration Tool Phase 2 Form and Instruction New
220267 Center for Tribes Needs and Fit Exploration Tool Phase 1 Form and Instruction New
220266 Center for Tribes Demographic Survey Form and Instruction New
220265 Center for Tribes Contact Form Form and Instruction New
220264 Assessment & Capacity Building Plan Satisfaction Survey Form and Instruction New
220263 Webinars, Events, and In-Person Meetings Satisfaction Survey Form and Instruction New
220262 Learning Experiences Survey (intensive) Form and Instruction New
220261 Learning Experiences Satisfaction Survey (single) Form and Instruction New
220260 Webpages and Products Satisfaction Survey Form and Instruction New
ICR Details
0970-0484 201602-0970-011
Historical Active
HHS/ACF ACYF
Evaluation of the Child Welfare Capacity Building Collaborative
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/30/2016
Retrieve Notice of Action (NOA) 03/09/2016
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved
11,258 0 0
1,784 0 0
0 0 0
The Evaluation of the Child Welfare Capacity Building Collaborative is sponsored by the Children’s Bureau (CB) in the Administration on Children, Youth and Families (ACYF), Administration for Youth and Families (ACF), U.S. Department of Health and Human Services (DHHS) which seeks approval for the data collection instruments and procedures described herein. The proposed information collection is necessary to facilitate, track, monitor, and evaluate the activities of the Capacity Building Collaborative which includes three Federally funded centers (Center for States, Center for Tribes, and Center for Courts) that deliver national child welfare expertise and training and technical assistance services to State, Tribal, and Territorial public child welfare agencies and Court Improvement Programs (CIPs).
None
None
Not associated with rulemaking
  80 FR 67407 11/02/2015
81 FR 10866 03/02/2016
No
24
IC Title Form No. Form Name
Tribal Organizational Assessment Family Interview 1 Tribal Organizational Assessment Family Interview
Leadership Interview - States and Territories 1 Leadership Interview-States and Territories
Center for Courts CQI Workshops 1 Center for Courts CQI Workshops Survey
Webpages and Products Satisfaction Survey 1 Webpages and Products Satisfaction Survey
Center for Tribes Contact Form 1 Center for Tribes Demographic Survey
Center for Tribes Demographic Survey 1 Center for Tribes Demographic Survey
Tribal Organizationall Assessment Community Member/Elder 1 Tribal Organizational Assessment Community Member-Elder Interview
Center for States Brief Tailored Services Survey 1 Center for States Brief Tailored Services Survey
CIP Annual Meeting Survey 1 CIP Annual Meeting Survey
Learning Experiences Satisfaction Survey (single) 1 Learning Experiences Satisfaction Survey (single)
Center for Tribes Needs and Fit Exploration Tool Phase 2 1 Center for Tribes Needs and Fit Exploration Tool Phase 2
Leadership Interview - CIPS 1 Leadership Interview-CIPS
Leadership Interview Part II - Tribes 1 Leadership Interview Part II-Tribes
Annual Collaboration Survey 1 Annual Collaboration Survey
Assessment & Capacity Building Plan Satisfaction Survey 1 Assessment and Capacity Building Plan Satisfaction Survey
Center for Tribes Needs and Fit Exploration Tool Phase 1 1 Center for Tribes Needs and Fit Exploration Tool Phase 1
Tribal Organizational Assessment Caseworker Interview 1 Tribal Organizational Assessment Caseworker Interview
Tribal Organizational Assessessment Community Provider Interview 1 Tribal Organizational Assessment Community Provider Interview
Leadership Interview - Tribes 1 Leadership Interivew-Tribes
Learning Experiences Survey (intensive) 1 Learning Experiences Satisfaction Survey (inttensive)
Webinars, Events, and In-Person Meetings Satisfaction Survey 1 Webinars, Events, and In-Person Meetings Satisfaction Survey
Center for States Information and Referral Survey 1 Center for States Information and Referral Survey
Center for States Intensive Projects Survey 1 Center for States Intensive Projects Survey
Center for States Constituency Groups Survey 1 Center for States Constituency Groups Survey
  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 11,258 0 0 11,258 0 0
Annual Time Burden (Hours) 1,784 0 0 1,784 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New ICR.
$140,848
No
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.
03/09/2016