OMB control number

Permanency Innovations Initiative (PII) Evaluation - Phase 4

OMB 0970-0408 · HHS/ACF.

OMB 0970-0408

Latest Forms, Documents, and Supporting Material

Document Name
Attachment B3 Caregiver Reminder Postcard English-Spanish 8-15.docx Supplementary Document
Attachment B2b Parent-Legal Guardian Questionnaire Distributor Script Spanish 10-15.docx Supplementary Document
Attachment B2a Parent-Legal Guardian Questionnaire Distributor Script 10-15.docx Supplementary Document
Attachment B1b FAQ Letter for Caregivers Spanish 8-15.docx Supplementary Document
Attachment B1a FAQ Letter for Caregivers 8-15.docx Supplementary Document
Attachment A2 CAPP Research Matrix .docx Supplementary Document
Attachment A1 PII Research Matrix.docx Supplementary Document
PII - Nonsubstantive Change Request 10 7 2014.docx Justification for No Material/Nonsubstantive Change
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document
Attachment D1 Cross-Site Administrative Data Study Research Matrix 6 12 14.docx Supplementary Document
Attachment C1 Cost Study Research Matrix.docx Supplementary Document
Attachment B1 RISE Research Matrix 6 12 14_clean.docx Supplementary Document
Attachment A PII Research Matrix.docx Supplementary Document
SSB CAPP_2015-11-06.docx Supporting Statement B
Attachment D6 RISE Posttest Reminder.docx Supplementary Document
Attachment D4 RISE ORB Summative Posttest Consent.docx Supplementary Document
Attachment D2 RISE ORB Summative Pretest BoR and Consent.docx Supplementary Document
Attachment D1 RISE Research Matrix.docx Supplementary Document
Attachment C10 DCFS CASI-ACASI Measures and Instruction Screens.docx Supplementary Document
Attachment C8 DCFS Youth FAQ Letter and Assent Form.docx Supplementary Document
Attachment C5 DCFS Foster Parent FAQ Letter and Consent Form.docx Supplementary Document
Attachment C2 DCFS Biological Parent FAQ Letter and Consent Script.docx Supplementary Document
Attachment C1 DCFS Research Matrix.docx Supplementary Document
Attachment A1 Research Matrix for Implementation, KS, and Washoe Studies.docx Supplementary Document
Sample screen shot for web based surveys.JPG Supplementary Document
SSA CAPP_2015-11-06.docx Supporting Statement A
CAPP Caregiver Questionnaire Other-Questionnaire
CAPP Parent-Legal Guardian Questionnaire Other-Questionnaire
D3: Admin Data file submission with added fields Instruction
D2: Admin Data file submission, no added fields Instruction
C7: Monthly Management/Administration Log Other-Log
C6: Weekly Supervision Activity Log Other-Log
C5: Weekly Casework Activity Log Other-Logs
C4: Trial Administration of Logs Other-Logs
C3: Cost Focus Group Guide Other-Discussion Guide
C2: Cost Study Focus Group Preparation Instruction
B10: RISE Staff Follow-Up Survey Other-Survey
B8: RISE Current Caregiver Interview Other-Interview
B7: RISE Permanency Resource Interview Other-Interview
B6: RISE Facilitator submission of CAFAS data Instruction
B5: RISE CCT Facilitator Survey Other-Survey
B4: RISE CCT Facilitator Interview (child burden) Other-Interview
B4: RISE CCT Facilitator Interview (facilitator burden) Other-Interview
B3: RISE Youth Qualitative Interview (ages 11-19) Other-Interview
B2: RISE Youth Interview (ages 11-19) Other-Interview
B9b: Revised RISE Staff Post-Test Other-Posttest
B9a: Revised RISE Staff Pre-Test Other-Pretest
DCFS Youth Interview Other-Interview
DCFS Foster Parent Interview Other-Interview
DCFS Youth and Foster Parent Study Contact Form Other-Contact Form
DCFS Biological Parent Interview Other-Interview
DCFS Biological Parent Study Contact Form Other-Contact Form
Washoe Family Assessment Battery Other-Assessment Battery
Caseworker discussions for NCFAS-G&R completion Other-Discussions
CAFAS/PECFAS Other-CAFAS/PECFAS
Family Assessment Battery Other-Assessment Battery
Caregiver Initial Information Form Other-Info Form
Fidelity Data (Implementation Quotient Tracker) Other-Quotient Tracker
Grantee Case Study Protocol Other-Protocol
Implementation Drivers Web Survey Other-Survey
Survey of Organization/System Readiness Other-Survey

All Historical Document Collections

201511-0970-001 Withdrawn and continue	Revision of a currently approved collection	2015-11-24
201410-0970-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-10-09
201404-0970-001 Approved without change	Revision of a currently approved collection	2014-04-10
201305-0970-012 Approved with change	Revision of a currently approved collection	2013-05-30
201302-0970-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-02-28
201205-0970-003 Approved with change	New collection (Request for a new OMB Control Number)	2012-05-08