Mother and Infant Home Visiting Program Evaluation (MIHOPE)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ERS Spanish.pdf	Supplementary Document	Uploaded 2013-06-20	Available
MIHOPE Participant Consent for CPHS REVISED 03May13.docx	Supplementary Document	Uploaded 2013-06-20	Repair queued
Michigan Authorization to Disclose Protected Health Information.doc	Supplementary Document	Uploaded 2013-06-20	Repair queued
MIHOPE Participant Consent - 6.11.13.docx	Supplementary Document	Uploaded 2013-06-20	Available
NV_CPS_ICF_Final.docx	Supplementary Document	Uploaded 2013-06-20	Available
MIHOPE_Phase_2_Supporting_Statement_B - 6.11.13.docx	Supporting Statement B	Uploaded 2013-06-20	Available
05_MIHOPE2_reminder to HVs Dec 6 2012.pdf	Supplementary Document	Uploaded 2013-01-10	Available
04_MIHOPE2_Family tracking letter revised May 2013.docx	Supplementary Document	Uploaded 2013-06-20	Repair queued
MIHOPE_Phase_2_Supporting_Statement_A - 6.25.13_final.docx	Supporting Statement A	Uploaded 2013-06-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205475	Measuring Height and Weight	Other-Protocol - Child assessments	New
205474	Direct Child Assessments	Other-Protocol - Child assessments	New
205473	Direct parent-child interaction	Other-Protocol - Child assessments	New
205472	Family follow-up survey	Other-Survey	New
205471	Home Visitor Logs - Past 15 months	Other-Logs	New
205470	Combined Home Visitor-Supervisor 12 Month Survey	Other-Survey	New
205469	Combined Home Visitor - Supervisor Baseline Survey	Other-Survey	New
203185	Family Screening and Consent	Other-Screener	Modified
201664	Home Visitor Individual Interview 12 Month	Other-Interview	Modified
201663	Home Visitor Group Interview 12 Month	Other-Interview	Modified
201662	Supervisor Group Interview 12 Month	Other-Interview	Modified
201661	Program Manager Group Interview 12 Month	Other-Interview	Modified
201660	Home Visitor Logs	Other-Logs	Modified
201659	Supervisor Logs	Other-Logs	Modified
201658	Other Home Visiting Programs Survey	Other-Survey	Modified
201657	Community Service Provider Survey	Other-Survey	Modified
201656	Home Visitor Survey 12 Month	Other-Survey	Modified
201655	Home Visitor Survey Baseline	Other-Survey	Modified
201654	Supervisor Survey 12 Month	Other-Survey	Modified
201653	Supervisor Survey Baseline	Other-Survey	Modified
201652	Program Manager Survey 12 Month	Other-Survey	Modified
201651	Program Manager Survey_Part 3 Baseline	Other-Survey	Modified
201650	Program Manager Survey_Part 2 Baseline	Other-Survey	Modified
201649	Program Manager Survey_Part 1 Baseline	Other-Survey	Modified
201648	State Administrator Interview 12 Month	Other-Interview	Modified
201647	State Administrator Interview Baseline	Other-Interview	Modified
201646	Family Baseline Survey	Other-Survey	Modified
200745	Visits and Calls with Local Program Directors	Other-Visits and Calls	Modified
200744	Second Round Visits with State Administrators	Other-Site Visits	Modified
200743	First Round Visits with State Administrators	Other-Site Visits	Modified
200742	Telephone contact with state administrators	Other-Telephone Contact	Modified

ICR Details

OMB Control No: 0970-0402	ICR Reference No: 201301-0970-002
Status: Historical Active	Previous ICR Reference No: 201212-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Mother and Infant Home Visiting Program Evaluation (MIHOPE)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/26/2013
	Date Received in OIRA: 01/18/2013
Terms of Clearance: OMB notes that the biospecimen portion of the collection is not approved at this time. To obtain approval for that piece, ACF will submit a nonsubstantive change request consistent with our agreement.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	36 Months From Approved	07/31/2015
Responses	34,487	0	17,337
Time Burden (Hours)	11,161	0	5,786
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families, Office of Planning Research and Evaluation (OPRE), and Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS) have launched a national evaluation called the Mother and Infant Home Visiting Program Evaluation (MIHOPE). The evaluation was authorized by a provision in the Patient Protection and Affordable Care Act of 2010 (PPACA) (P.L. 111-148), signed by the President on March 23, 2010. Using a mix of research methods, this evaluation will inform the federal government about the effectiveness of the newly established Maternal, Infant and Early Childhood Home-Visiting (MIECHV) program in its first few years of operation, and provide information to help states develop and strengthen home visiting programs in the future. By systematically estimating the effects of home visiting programs across a wide range of outcomes and studying the variation in how programs are implemented, MIHOPE will provide valuable information on the effects of these programs on parents and children. This includes investigating the effects of home visiting on maternal and child well-being, how those effects vary for different home visiting approaches, and how variations in program design and implementation influence program fidelity and impacts.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2951 Name of Law: Patient Protection and Affordable Care 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:
	77 FR 45618	08/01/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 3432	01/16/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 31

table that charts list of burden

IC Title	Form No.	Form Name
Telephone contact with state administrators
First Round Visits with State Administrators
Second Round Visits with State Administrators
Visits and Calls with Local Program Directors
Family Baseline Survey
State Administrator Interview Baseline
State Administrator Interview 12 Month
Program Manager Survey_Part 1 Baseline
Program Manager Survey_Part 2 Baseline
Program Manager Survey_Part 3 Baseline
Program Manager Survey 12 Month
Supervisor Survey Baseline
Supervisor Survey 12 Month
Home Visitor Survey Baseline
Home Visitor Survey 12 Month
Community Service Provider Survey
Other Home Visiting Programs Survey
Supervisor Logs
Home Visitor Logs
Program Manager Group Interview 12 Month
Supervisor Group Interview 12 Month
Home Visitor Group Interview 12 Month
Home Visitor Individual Interview 12 Month
Family Screening and Consent
Combined Home Visitor - Supervisor Baseline Survey
Combined Home Visitor-Supervisor 12 Month Survey
Home Visitor Logs - Past 15 months
Family follow-up survey
Direct parent-child interaction
Direct Child Assessments
Measuring Height and Weight

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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	34,487	17,337	0	17,150	0	0
Annual Time Burden (Hours)	11,161	5,786	0	5,375	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is an increase in burden approved under the Maternal and Infant Home Visiting Program Evaluation Phase 1 data collection package (0970-0402). The increase is the result of ongoing information collection for the mandated evaluation. Any decrease in burden is the result of adjustments to the amount of time components of the protocol will take, based on additional information since the original submission.

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Annual Cost to Federal Government: $4,265,958

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]? Yes

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

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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: 01/18/2013

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