FastTrack GenIC - 2022 CWIG National Foster Care Month Website Survey

2022 National Foster Care Month Survey Application_11.19.2021_for OMB.docx

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

FastTrack GenIC - 2022 CWIG National Foster Care Month Website Survey

OMB: 0970-0401

Document [docx]
Download: docx | pdf

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0401)

Shape1 TITLE OF INFORMATION COLLECTION: 2022 Child Welfare Information Gateway’s National Foster Care Month Website Survey


PURPOSE: Child Welfare Information Gateway (Information Gateway) is a service of the Children’s Bureau, a component within the Administration for Children and Families (ACF), and is dedicated to the mission of connecting professionals and concerned citizens to information on programs, research, legislation, and statistics regarding the safety, permanency, and well-being of children and families.  

 

The Information Gateway oversees the National Foster Care Month (NFCM) (https://www.childwelfare.gov/fostercaremonth/) special initiative website, which is an initiative of the Children’s Bureau. The NFCM initiative acknowledges foster parents, family members, volunteers, mentors, policy makers, child welfare professionals, and other members of the community who help children and youth in foster care find permanent homes and connections. The 2022 NFCM survey for this website is designed to collect input from visitors to ensure that the website meets the needs of customers. The survey will assess customer type, experience on the website, and how customers intend to use the information and resources from the site.

The Information Gateway will use the information collected in the surveys to enhance future special initiative campaign websites and resources. 


DESCRIPTION OF RESPONDENTS: Respondents will be visitors to the Information Gateway website who visit the NFCM website, including child welfare professionals, students, and personal customers.  



TYPE OF COLLECTION:


[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [ ] Other: ______________________


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The primary purpose of the results is not for public dissemination.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name and affiliation: Beth Claxon, Child Welfare Program Specialist, ACF Administration on Children, Youth and Families (ACYF)___________


To assist review, please provide answers to the following questions:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [ X ] No


BURDEN HOURS


Information Collection

Category of Respondent

No. of Respondents

No. of Responses per Respondent

Estimated Time per Response

Burden Hours

Child Welfare Information Gateway’s Special Initiative Survey

Individuals

100

1

.083

8.33

Totals




8.33


FEDERAL COST: The estimated annual cost to the Federal government is $658.20___


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [X] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


Visitors to the Information Gateway website will be invited to complete the survey via a pop-up window once they move their cursor off the page itself on to the address bar of the web browser.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of social media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain


  1. Will interviewers or facilitators be used? [ ] Yes [X ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.


3

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2024-07-25

© 2024 OMB.report | Privacy Policy