Cross-Site Evaluation of the Childrens Bureau Grantee Cluster: Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part B.doc	Supporting Statement B	Uploaded 2009-10-01	Available
Appendix C - Confidentiality Pledge.doc	Supplementary Document	Uploaded 2009-09-23	Available
Appendix A EBHV Grantee Site and Program Model.doc	Supplementary Document	Uploaded 2009-09-23	Available
Supporting Statement Part A.doc	Supporting Statement A	Uploaded 2009-10-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191209	EBHV grantee-partner network survey	Other-EBHV grantee-partner network survey	New
191208	Home visitor-participant relationship questionnaire	Other-Home visitor-participant relationship questionnaire	New
191207	Participant-home visitor relationship questionnaire	Other-Participant-home visitor relationship questionnaire	New
191206	EBHV grantee data quality progress table	Other-EBHV grantee data quality progress table	New
191205	EBHV agency fidelity/cost web-based data entry	Other-EBHV agency fidelity/cost web-based data entry	New
191204	EBHV grantee systems web-based data entry	Other-EBHV grantee systems web-based data entry	New
191203	EBHV grantee and key staff-partner interview guide	Other-EBHV grantee and key staff-partner interview guide	New

ICR Details

OMB Control No: 0970-0375	ICR Reference No: 200911-0970-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Cross-Site Evaluation of the Childrens Bureau Grantee Cluster: Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/26/2010
	Date Received in OIRA: 11/04/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved
Responses	20,348	0	0
Time Burden (Hours)	11,355	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) of the Department of Health and Human Services (DHHS) is requesting Office of Management and Budget (OMB) clearance for the data collection instruments and procedures, plans for data analysis, and reporting of findings to be used in a cross-site evaluation of its Children's Bureau's grantee cluster, Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV). The Cross-Site EBHV Evaluation will collect information from the 17 EBHV grantees to augment the existing evidence base by identifying successful strategies for adopting, implementing, and sustaining high quality home visiting programs to prevent child maltreatment. This will be done through support of rigorous local evaluations as well as using this data and cross-site research to assess participant, program, and systems change outcomes.

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Authorizing Statute(s): US Code: 42 USC 67 Name of Law: Child Abuse Prevention and Treatment Act
  

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:
	74 FR 29701	06/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 55051	10/26/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
EBHV grantee and key staff-partner interview guide
EBHV grantee systems web-based data entry
EBHV agency fidelity/cost web-based data entry
EBHV grantee data quality progress table
Participant-home visitor relationship questionnaire
Home visitor-participant relationship questionnaire
EBHV grantee-partner network survey

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ICR Summary of Burden

table that charts list 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	20,348	0	0	20,348	0	0
Annual Time Burden (Hours)	11,355	0	0	11,355	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection request.

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Annual Cost to Federal Government: $857,867

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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: 11/04/2009

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