Permanency Innovations Initiative (PII) Evaluation

Forms and Documents

Document Name	Status
PII - Nonsubstantive Change Request 10 7 2014.docx Justification for No Material/Nonsubstantive Change	2014-10-07
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document	2014-06-30
Attachment D1 Cross-Site Administrative Data Study Research Matrix 6 12 14.docx Supplementary Document	2014-06-30
Attachment C1 Cost Study Research Matrix.docx Supplementary Document	2014-04-01
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document	2014-06-30
Attachment A PII Research Matrix.docx Supplementary Document	2014-04-01
SSB CAPP-RISE CCT-admin-cost 6 12 14_clean.docx Supporting Statement B	2014-06-30
Attachment D6 RISE Posttest Reminder.docx Supplementary Document	2013-05-22
Attachment D4 RISE ORB Summative Posttest Consent.docx Supplementary Document	2013-05-22
Attachment D2 RISE ORB Summative Pretest BoR and Consent.docx Supplementary Document	2013-05-22
Attachment D1 RISE Research Matrix.docx Supplementary Document	2013-05-22
Attachment C10 DCFS CASI-ACASI Measures and Instruction Screens.docx Supplementary Document	2013-05-22
Attachment C8 DCFS Youth FAQ Letter and Assent Form.docx Supplementary Document	2013-05-22
Attachment C5 DCFS Foster Parent FAQ Letter and Consent Form.docx Supplementary Document	2013-05-22
Attachment C2 DCFS Biological Parent FAQ Letter and Consent Script.docx Supplementary Document	2013-05-22
Attachment C1 DCFS Research Matrix.docx Supplementary Document	2013-05-22
Attachment A1 Research Matrix for Implementation, KS, and Washoe Studies.docx Supplementary Document	2013-05-22
Sample screen shot for web based surveys.JPG Supplementary Document	2012-05-08
SSA RISE CCT-admin-cost_6 24 14_clean.docx Supporting Statement A	2014-06-30

IC Document Collections

IC ID	Document Title	Status
211060	D3: Admin Data file submission with added fields Instruction	Unchanged
211059	D2: Admin Data file submission, no added fields Instruction	Unchanged
211058	C7: Monthly Management/Administration Log Other-Log	Unchanged
211057	C6: Weekly Supervision Activity Log Other-Log	Unchanged
211056	C5: Weekly Casework Activity Log Other-Logs	Unchanged
211055	C4: Trial Administration of Logs Other-Logs	Unchanged
211054	C3: Cost Focus Group Guide Other-Discussion Guide	Unchanged
211053	C2: Cost Study Focus Group Preparation Instruction	Unchanged
211052	B10: RISE Staff Follow-Up Survey Other-Survey	Unchanged
211050	B8: RISE Current Caregiver Interview Other-Interview	Unchanged
211049	B7: RISE Permanency Resource Interview Other-Interview	Unchanged
211048	B6: RISE Facilitator submission of CAFAS data Instruction	Unchanged
211047	B5: RISE CCT Facilitator Survey Other-Survey	Unchanged
211046	B4: RISE CCT Facilitator Interview (child burden) Other-Interview	Unchanged
211045	B4: RISE CCT Facilitator Interview (facilitator burden) Other-Interview	Unchanged
211044	B3: RISE Youth Qualitative Interview (ages 11-19) Other-Interview	Unchanged
211043	B2: RISE Youth Interview (ages 11-19) Other-Interview	Unchanged
207124	B9b: Revised RISE Staff Post-Test Other-Posttest	Unchanged
207123	B9a: Revised RISE Staff Pre-Test Other-Pretest	Unchanged
207122	DCFS Youth Interview Other-Interview	Unchanged
207121	DCFS Foster Parent Interview Other-Interview	Unchanged
207120	DCFS Youth and Foster Parent Study Contact Form Other-Contact Form	Unchanged
207119	DCFS Biological Parent Interview Other-Interview	Unchanged
207118	DCFS Biological Parent Study Contact Form Other-Contact Form	Unchanged
202195	Washoe Family Assessment Battery Other-Assessment Battery	Unchanged
202194	Caseworker discussions for NCFAS-Gamp;R completion Other-Discussions	Unchanged
202193	CAFAS/PECFAS Other-CAFAS/PECFAS	Unchanged
202192	Family Assessment Battery Other-Assessment Battery	Unchanged
202191	Caregiver Initial Information Form Other-Info Form	Unchanged
202190	Fidelity Data (Implementation Quotient Tracker) Other-Quotient Tracker	Unchanged
202189	Grantee Case Study Protocol Other-Protocol	Modified
202188	Implementation Drivers Web Survey Other-Survey	Unchanged
202187	Survey of Organization/System Readiness Other-Survey	Unchanged

ICR Details

OMB Control No: 0970-0408	ICR Reference No: 201410-0970-003
Status: Historical Active	Previous ICR Reference No: 201404-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: 19658
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: 10/09/2014
	Date Received in OIRA: 10/09/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	07/31/2017	07/31/2017
Responses	13,355	0	13,355
Time Burden (Hours)	6,863	0	6,863
Cost Burden (Dollars)	0	0	0

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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. We would like to request approval for non-substantive revisions to the case study protocol. The revisions involve revised questions to support an analysis of the costs of implementing and operating the PII interventions.

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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

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 56714	09/13/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 19090	04/07/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 33

IC Title	Form No.	Form Name
D3: Admin Data file submission with added fields
B5: RISE CCT Facilitator Survey
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
DCFS Biological Parent Study Contact Form
DCFS Biological Parent Interview
DCFS Youth and Foster Parent Study Contact Form
DCFS Foster Parent Interview
DCFS Youth Interview
B9a: Revised RISE Staff Pre-Test
B9b: Revised RISE Staff Post-Test
B4: RISE CCT Facilitator Interview (facilitator burden)
B4: RISE CCT Facilitator Interview (child burden)
B6: RISE Facilitator submission of CAFAS data
B7: RISE Permanency Resource Interview
B10: RISE Staff Follow-Up Survey
D2: Admin Data file submission, no added fields
B2: RISE Youth Interview (ages 11-19)
B3: RISE Youth Qualitative Interview (ages 11-19)
B8: RISE Current Caregiver Interview
C2: Cost Study Focus Group Preparation
C3: Cost Focus Group Guide
C4: Trial Administration of Logs
C6: Weekly Supervision Activity Log
C5: Weekly Casework Activity Log
C7: Monthly Management/Administration Log

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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	13,355	13,355	0	0	0	0
Annual Time Burden (Hours)	6,863	6,863	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:

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Annual Cost to Federal Government: $981,671

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

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Common Form ICR:  No

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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: 10/09/2014

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