Permanency Innovations Initiative (PII) Evaluation

Forms and Documents

Document Name	Status
PII Supporting Statement Part A_Track Changes NonSub Change.docx Supplementary Document	2013-02-22
PII NonSub Change Justification.docx Justification for No Material/Nonsubstantive Change	2013-02-22
Sample screen shot for web based surveys.JPG Supplementary Document	2012-05-08
PII Supporting Statement Part A_Clean NonSub Change.docx Supporting Statement A	2013-02-22

IC Document Collections

IC ID	Document Title	Status
202195	Washoe Family Assessment Battery Other-Assessment Battery	Modified
202194	Caseworker discussions for NCFAS-Gamp;R completion Other-Discussions	Modified
202193	CAFAS/PECFAS Other-CAFAS/PECFAS	Modified
202192	Family Assessment Battery Other-Assessment Battery	Modified
202191	Caregiver Initial Information Form Other-Info Form	Modified
202190	Fidelity Data (Implementation Quotient Tracker) Other-Quotient Tracker	Modified
202189	Grantee Case Study Protocol Other-Protocol	Modified
202188	Implementation Drivers Web Survey Other-Survey	Modified
202187	Survey of Organization/System Readiness Other-Survey	Modified

ICR Details

OMB Control No: 0970-0408	ICR Reference No: 201302-0970-008
Status: Historical Active	Previous ICR Reference No: 201205-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No: 18902
Title: Permanency Innovations Initiative (PII) Evaluation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/05/2013
	Date Received in OIRA: 02/28/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	08/31/2015	08/31/2015
Responses	3,006	0	3,006
Time Burden (Hours)	2,922	0	2,922
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), requests permission to collect data for an evaluation of the Permanency Innovations Initiative (PII). This 5-year initiative, funded by the Children's Bureau (CB) within ACF, will build the evidence base for innovative interventions that enhance well-being and improve permanency outcomes for particular groups of children and youth who are at high risk for long-term foster care and who experience the most serious barriers to timely permanency. A major emphasis of the PII is the design of rigorous evaluations that will provide credible evidence and replicable interventions for achieving faster permanency for children and youth in foster care.

---

Authorizing Statute(s): US Code: 42 USC 626 Name of Law: Social Security Act; Research, training, or demonstration projects
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Survey of Organization/System Readiness
Implementation Drivers Web Survey
Grantee Case Study Protocol
Fidelity Data (Implementation Quotient Tracker)
Caregiver Initial Information Form
Family Assessment Battery
CAFAS/PECFAS
Caseworker discussions for NCFAS-Gamp;R completion
Washoe Family Assessment Battery

---

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	3,006	3,006	0	0	0	0
Annual Time Burden (Hours)	2,922	2,922	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: $535,556

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 02/28/2013

---