OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Prenatal Alcohol and Other Drugs Exposures in Child Welfare (PAODE-CW) Study

ICR 201801-0970-001 · OMB 0970-0511 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Focus Group of Caregivers Form and Instruction New Repair queued
Form 1 Survey Instrument for Service Providers Form and Instruction New Available
Form 1 Survey Instrument for Local Agency Staff-Form B Differential Response Form and Instruction New Repair queued
Form 1 Survey Instrument for Local Agency Staff-Form B General Form and Instruction New Available
Form 1 Survey Instrument for Local Agency Staff-Form A General Form and Instruction New Available
Form 1 Interview Protocol for Local Agency Staff-Frontline and Ongoing Form and Instruction New Repair queued
Form 1 Inteerview Protocol for Local Agency Staff-Ongoing Only Form and Instruction New Repair queued
Form 1 Interview Protocol for Local Agency Staff-Frontline Only Form and Instruction New Available
Form 1 Interview Protocol for Local Agency Medical Staff Form and Instruction New Available
Form 1 Interview Protocol for Data Staff Form and Instruction New Repair queued
Form 1 Interview Protocol for Local Agency Director Form and Instruction New Available
Attachment 12 - PAODE_OMB Cost Burden Estimates Final.xlsx Supplementary Document Uploaded 2018-05-22 Repair queued
Part B Supporting Statement-PAODE Final.docx Supporting Statement B Uploaded 2018-05-22 Available
Part A Supporting Statement-PAODE Final.docx Supporting Statement A Uploaded 2018-05-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
229650 Focus Group of Caregivers Form and Instruction New
229649 Survey Instrument for Service Providers Form and Instruction New
229648 Survey Instrument for Local Agency Staff-Form B Differential Response Form and Instruction New
229647 Survey Instrument for Local Agency Staff-Form B General Form and Instruction New
229646 Survey Instrument for Local Agency Staff-Form A General Form and Instruction New
229645 Interview Protocol for Local Agency Staff-Frontline and Ongoing Form and Instruction New
229644 Inteerview Protocol for Local Agency Staff-Ongoing Only Form and Instruction New
229643 Interview Protocol for Local Agency Staff-Frontline Only Form and Instruction New
229642 Interview Protocol for Local Agency Medical Staff Form and Instruction New
229641 Interview Protocol for Data Staff Form and Instruction New
229640 Interview Protocol for Local Agency Director Form and Instruction New
ICR Details
0970-0511 201801-0970-001
Active
HHS/ACF
Prenatal Alcohol and Other Drugs Exposures in Child Welfare (PAODE-CW) Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/29/2018
Retrieve Notice of Action (NOA) 01/08/2018
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved
429 0 0
306 0 0
0 0 0
The Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS) is proposing a data collection activity as part of the Prenatal Alcohol and Other Drug Exposures in Child Welfare (PAODE–CW) Study. The study examines the current state of child welfare practice regarding the identification and provision of services for children with prenatal substance exposures, including alcohol and other drugs. The descriptive study will document the policies and practices of child welfare agencies and related organizations to identify, assess, and refer to services children who may have been exposed to prenatal substances and/or diagnosed with a resulting condition such as fetal alcohol spectrum disorders (FASD). The study will document procedures as well as challenges faced and lessons learned to inform the field of practice as well as policy makers, program administrators, and funders at various levels. The proposed information collection activities consist of semi-structured interviews and surveys conducted at 28 child welfare agency sites. Focus groups conducted at 8 of the 28 sites will gather information on needs, challenges, and strategies to support children with prenatal substance exposures and their families within the child welfare system.
None
None
Not associated with rulemaking
  82 FR 48818 10/20/2017
82 FR 60746 12/22/2017
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 429 0 0 429 0 0
Annual Time Burden (Hours) 306 0 0 306 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR
$165,452
No
    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.
01/08/2018