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Instrument 3- Site Visit 1 Interview Guide for Administrators
OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]
OMB: 0970-0577
IC ID: 247980
OMB.report
HHS/ACF
OMB 0970-0577
ICR 202106-0970-004
IC 247980
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0577 can be found here:
2022-11-22 - Revision of a currently approved collection
2022-07-21 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx
Other-Interview Guide
Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx
Other-Interview Guide
Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx
Other-Interview Guide
Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx
Other-Interview Guide
Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx
Other-Interview Guide
Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx
Other-Interview Guide
Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx
Other-Interview Guide
Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx
Other-Interview Guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument 3- Site Visit 1 Interview Guide for Administrators
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Interview Guide
Instrument 3A- Site Visit 1 Interview Guide for Administrators- Child Welfare Agency Administrators.docx
Yes
No
Paper Only
Other-Interview Guide
Instrument 3B- Site Visit 1 Interview Guide for Administrators- Licensed LifeSet Experts.docx
Yes
No
Paper Only
Other-Interview Guide
Instrument 3C- Site Visit 1 Interview Guide for Administrators- LifeSet Developer Administrators.docx
Yes
No
Paper Only
Other-Interview Guide
Instrument 3D- Site Visit 1 Interview Guide for Administrators- Provider Agency Administrators.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
22
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7
0
7
0
0
0
Annual IC Time Burden (Hours)
7
0
7
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.