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Federal forms, ICRs, and supporting documents

Information Collection Request

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

ICR 201901-0970-001 · OMB 0970-0527 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
RPG Part_A_Draft_to CB_updated 01092019_CLEAN_v2.docx Supporting Statement A Uploaded 2019-01-09 Available
Appendix I Partner Survey FAQ.docx Supplementary Document Uploaded 2019-01-09 Available
Appendix H_Partner Survey Outreach Emails.docx Supplementary Document Uploaded 2019-01-09 Available
Appendix A_Copy of authorizing legislation.pdf Supplementary Document Uploaded 2019-01-09 Available
RPG Part_B_Draft_to CB_updated 01092019_CLEAN.docx Supporting Statement B Uploaded 2019-01-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
234670 Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F) Other-Data Elements New
234669 Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F) Other-Data Elements New
234668 Outcomes and impacts data - Standardized instruments: Data entry for standardized instruments (Appendix F) Other-Data Elements New
234667 Outcomes and impacts data - Standardized instruments: Review and adopt reporting templates (Appendix F) Other-Data Elements New
234666 Outcomes and impacts data - Administrative data: Report administrative data (Appendix G) Other-Admin Data New
234665 Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G) Other-Admin Data New
234663 Enrollment and services data: Service log entries (Appendix E) Other-Data Elements New
234662 Enrollment and services data: Case closure – prenatal (Appendix E) Other-Data Elements New
234661 Enrollment and services data: Case closure (Appendix E) Other-Data Elements New
234656 Enrollment and services data: Case enrollment data (Appendix E) Other-Data Elements New
234655 Enrollment and services data: Semiannual progress reports (Appendix D) Other-Progress Report New
234654 Site visit and key informant data collection: Partner survey (Appendix C) Other-Survey New
234653 Site visit and key informant data collection: PD/PM phone interview (Appendix B) Other-Interview New
234652 Site visit and key informant data collection: Frontline staff interviews (Appendix B) Other-Interview New
234651 Site visit and key informant data collection: Partner representative interviews (Appendix B) Other-Interview New
234650 Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B) Other-Interview New
234648 Site visit and key informant data collection: Program director individual interview (Appendix B) Other-Interview Guide New
ICR Details
0970-0527 201901-0970-001
Historical Active
HHS/ACF ACYF
CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/14/2019
Retrieve Notice of Action (NOA) 01/30/2019
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved
386,961 0 0
31,396 0 0
0 0 0
The Children’s Bureau (CB) within the Administration for Children and Families of the U.S. Department of Health and Human Services seeks approval to collect information for the Regional Partnership Grants to Increase the Well-being of and to Improve Permanency Outcomes for Children Affected by Substance Abuse (known as the Regional Partnership Grants Program or “RPG”) Cross-Site Evaluation and Evaluation-Related Technical Assistance project. The RPG cross-site evaluation will extend our understanding of what types of programs and services grantees provided to participants, how grantees leveraged their partnerships to coordinate services for children and families, and what the outcomes were for children and families enrolled in RPG programs. First, the cross-site evaluation will describe the characteristics of participants served by RPG programs, the types of services provided to families, the dosage of each type of service received by families, and the level of participant engagement with the services provided. Second, the cross-site will assess the coordination of partners’ service systems (e.g., shared participant data, joint staff training) to better understand how partners’ collaborative effort affects the array of services offered to families. The cross-site evaluation will also focus more deeply on the partnership between the child welfare and substance use disorder (SUD) treatment agencies, to add to the research base about how these agencies can collaborate to address the needs of children and families affected by SUD. Finally, the evaluation will assess the outcomes of children and adults served through the RPG program.
PL: Pub.L. 112 - 34 436(b) Name of Law: The Child and Family Services Improvement and Innovation Act (Pub. L. 112-34)
  
None
Not associated with rulemaking
  83 FR 50936 10/10/2018
83 FR 64128 12/13/2018
No
17
IC Title Form No. Form Name
Site visit and key informant data collection: Partner survey (Appendix C)
Site visit and key informant data collection: Partner representative interviews (Appendix B)
Enrollment and services data: Case enrollment data (Appendix E)
Enrollment and services data: Case closure (Appendix E)
Enrollment and services data: Service log entries (Appendix E)
Outcomes and impacts data - Administrative data: Report administrative data (Appendix G)
Outcomes and impacts data - Standardized instruments: Review and adopt reporting templates (Appendix F)
Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)
Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)
Site visit and key informant data collection: Program director individual interview (Appendix B)
Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B)
Site visit and key informant data collection: Frontline staff interviews (Appendix B)
Site visit and key informant data collection: PD/PM phone interview (Appendix B)
Enrollment and services data: Semiannual progress reports (Appendix D)
Enrollment and services data: Case closure – prenatal (Appendix E)
Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G)
Outcomes and impacts data - Standardized instruments: Data entry for standardized instruments (Appendix F)
  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 386,961 0 0 376,372 10,589 0
Annual Time Burden (Hours) 31,396 0 0 26,494 4,902 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is a new collection. Any changes to burden showing in ROCIS are the result of duplicating lines when uploading materials.
$1,481,965
Yes Part B of Supporting Statement
    Yes
    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.
01/30/2019