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T/TA Case Number: TA221343
NRC T/TA Work Plan Form
PLAN FOR RESPONDING TO T/TA NEED
NRC Lead Provider* Select NRC
Child Welfare – Organizational Improvement
Child Protective Services
Child Welfare – Legal and Judicial Issues
Family – Centered Practice and Permanency Planning
Child Welfare Data and Technology
Additional Network Members Needed to Deliver T/TA
Added Members
Select Network Members
Child Welfare – Organizational Improvement
Child Protective Services
Child Welfare – Legal and Judicial Issues
Family – Centered Practice and Permanency Planning
Child Welfare Data and Technology
Practice Area(s)*
T/TA Matrix Attached*
NRC1
TTA1
TTA2
Only generates tabs
for NRCs, not others.
Select all that apply
NRC/IC Optional Category #2
Select one
Yes
NOTE
<< Click to REMOVE
Organizational/
Systemic Area(s)*
Select all that apply
NRC/IC Optional Category
Child Welfare – Youth Development
Click to ADD >>
No
Select all that apply
Browse...
Cancel
ETC
Save
Number of ON-SITE Days Anticipated (if applicable)
FPO Approving on-site T/TA, if estimate exceeds 10 days
Expected timeframe for T/TA delivery*
Start
mm/dd/yyyy
End
mm/dd/yyyy
NRC Contact Person* Prefilled: Able to edit
Email*
Prefilled: Able to edit
Phone*
NOTE
Prefilled: Able to edit
If TTA plan
not attached,
Brief description
is required
Brief narrative description of T/TA planned (if not attached)
No
T/TA plan attached*
Yes
No
Browse...
Email*
State/Tribal Contact Person*
Optional Field
Is this T/TA Request ready for close out?
NRC TA Work Plan Form
NOTE
Modifications can be
made to these tabs. If
modifications are
present, when you
select “Save” you will
be asked to explain
the changes.
Matrix only on main
Optional Field
Yes
No
Phone*
Cancel
Save
NOTE
“No” is the default for
the close out question.
if “Yes” is selected, the
“T/TA Plan Close Out”
form will appear and
can then be completed.
(*) fields req’d when
“Close Out” = yes
3
File Type | application/pdf |
File Title | Visio-LH_OneNet Wireframes.vsd |
Author | 15032 |
File Modified | 2010-01-27 |
File Created | 2010-01-27 |