Information Collection

Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

IC 254553 under ICR 202207-0970-002 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx Other-Interview Protocol
Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx Other-Interview Protocol
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSA - PAE Usability Testing IC Document
Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSA - PAE Usability Testing IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB - PAE Usability Testing IC Document
Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx SSB - PAE Usability Testing IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx Appendix B - PAE recruitment message for state CW directors IC Document
Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx Appendix B - PAE recruitment message for state CW directors IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx Appendix C - PAE recruitment message for local area CW directors IC Document
Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx Appendix C - PAE recruitment message for local area CW directors IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx Appendix D - PAE recruitment message for local agency staff IC Document
Appendix D - PAE recruitment message for local agency staff 1.7.22.docx Appendix D - PAE recruitment message for local agency staff IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx Appendix E - PAE project description IC Document
Appendix E - PAE project description_Clean_Jan 2022.docx Appendix E - PAE project description IC Document
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf NOA - PAE Usability Testing IC Document
NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf NOA - PAE Usability Testing IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System	Agency IC Tracking Number:	CB

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 Protocol			Appendix A - PAE Usability Testing Interview Protocol 1.7.22.docx		Yes	Yes	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: 21	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - PAE Usability Testing	Generics_SSA_PAE_Usability_Testing_Study_clean_Jan 2022.docx	07/08/2022
SSB - PAE Usability Testing	Generics_SSB_PAE_Usability_Testing_Study_clean_Jan 2022.docx	07/08/2022
Appendix B - PAE recruitment message for state CW directors	Appendix B - PAE recruitment message for state CW directors_clean_Jan 2022.docx	07/08/2022
Appendix C - PAE recruitment message for local area CW directors	Appendix C - PAE recruitment message for local area CW directors_clean_Jan 2022.docx	07/08/2022
Appendix D - PAE recruitment message for local agency staff	Appendix D - PAE recruitment message for local agency staff 1.7.22.docx	07/08/2022
Appendix E - PAE project description	Appendix E - PAE project description_Clean_Jan 2022.docx	07/08/2022
NOA - PAE Usability Testing	NOA_Formative Prog Supp GenIC_PAODE_0970-0531_2.1.22.pdf	07/08/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.