Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews

Forms and Documents

Document Name	Status
Form 1 Child and Family Services Review Program Improvement Plan Form and Instruction	Modified
Form 1 Child and Family Services Review On-Site Review Form and Instruction	Modified
Form 1 Child and Family Services Review Statewide Assessment Form and Instruction	Modified
CFSR_etc_SS_12-06-11.docx Supporting Statement A	2011-12-06

IC Document Collections

IC ID	Document Title	Status
191020	Anti-Discrimination Enforcement Corrective Action Plans	Modified
191019	Child and Family Services Review Program Improvement Plan Form and Instruction	Modified
191018	Child and Family Services Review On-Site Review Form and Instruction	Modified
191017	Child and Family Services Review Statewide Assessment Form and Instruction	Modified
10051	Title IV-E Foster Care Eligibility Review Program Improvement Plan	Modified

ICR Details

OMB Control No: 0970-0214	ICR Reference No: 201202-0970-002
Status: Historical Active	Previous ICR Reference No: 200910-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Title IV-E Foster Care Eligibility Reviews, Child and Family Services Reviews
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/07/2012
	Date Received in OIRA: 02/07/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2013
Responses	51	0	47
Time Burden (Hours)	24,600	0	22,860
Cost Burden (Dollars)	492,000	0	0

---

Abstract: The information collected is needed: 1) to conduct federal onsite eligibility reviews of Title IV-E of the Social Security Act (the Act), "Federal Payments for Foster Care and Adoption Assistance"; and 2) to monitor state plan requirements under Title IV-B and IV-E of the Act, as required by Federal statute. The resultant information will determine if states are in compliance with state plan requirements and are achieving desired outcomes for children and families, as well as assure eligibility for federall-assisted foster care expenditures. These reviews will not only address compliance with eligibility requirements, but also assist States in enhancing their capacities to serve children and families. The Act also deploys anti-discrimination enforcement provisions which include the execution and completion of corrective action plans when a State is in violation of the Act.

---

Authorizing Statute(s): US Code: 42 USC 1320a-1a Name of Law: Reviews of Child and Family Services Program
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0970-AC41	Final or interim final rulemaking	77 FR 896	01/06/2012

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Title IV-E Foster Care Eligibility Review Program Improvement Plan
Child and Family Services Review Statewide Assessment	1	Statewide Assessment
Child and Family Services Review On-Site Review	1	Onsite Review Instrument
Child and Family Services Review Program Improvement Plan	1	PIP Matrix
Anti-Discrimination Enforcement Corrective Action Plans

---

ICR Summary of Burden

	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	51	47	0	0	4	0
Annual Time Burden (Hours)	24,600	22,860	0	0	1,740	0
Annual Cost Burden (Dollars)	492,000	0	0	0	476,400	15,600

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $3,882,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/08/2011

---