Evaluation of the Head Start Safe Families-Safe Homes Training Curriculum

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Semi-Structured Interview Scheduling Call Script.docx	Supplementary Document	Uploaded 2011-11-18	Available
Survey Follow-Up Call Script.docx	Supplementary Document	Uploaded 2011-11-18	Available
Follow-Up Email to Survey Participants - v.2.docx	Supplementary Document	Uploaded 2011-11-18	Available
Thank You Email to Survey Participants.docx	Supplementary Document	Uploaded 2011-11-18	Repair queued
Email to Survey Participants - v.2.docx	Supplementary Document	Uploaded 2011-11-18	Available
Supporting Statement Part B - revised 11-14-2011.doc	Supporting Statement B	Uploaded 2011-11-18	Available
Supporting Statement Part A - revised 11-14-2011.doc	Supporting Statement A	Uploaded 2011-11-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198176	Head Start Safe Families-Safe Homes Training Curriculum Semi-Structured Interview	Other-#2 Semi-Structured Interview	New
198175	Head Start Safe Families-Safe Homes Training Curriculum Survey	Other-Participant Survey	New

ICR Details

OMB Control No: 0970-0400	ICR Reference No: 201106-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Head Start Safe Families-Safe Homes Training Curriculum
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 with change	Conclusion Date: 11/28/2011
	Date Received in OIRA: 06/20/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	12 Months From Approved
Responses	260	0	0
Time Burden (Hours)	68	0	0
Cost Burden (Dollars)	1,151	0	0

---

Abstract: The purpose of this information collection is to evaluate how the Safe Families-Safe Homes training curriculum is implemented in each of five states selected to participate in the Safe Families-Safe Homes project. This training, or workshop, curriculum was developed for Head Start/Early Head Start programs and is used for domestic violence training and coordination amongst early childhood, domestic violence, child welfare, and substance abuse treatment and prevention partners with the goal of helping Head Start/Early Head Start programs and their community partners address and mitigate the effects of domestic violence in the lives of young children and families.

---

Authorizing Statute(s): US Code: 42 USC 9844 Name of Law: Improving Head Start for School Readiness Act of 2007
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 2394	01/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 34998	06/15/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Head Start Safe Families-Safe Homes Training Curriculum Survey
Head Start Safe Families-Safe Homes Training Curriculum Semi-Structured Interview

---

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	260	0	0	260	0	0
Annual Time Burden (Hours)	68	0	0	68	0	0
Annual Cost Burden (Dollars)	1,151	0	0	1,151	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 effort.

---

Annual Cost to Federal Government: $11,952

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 06/20/2011

---