Home Visiting: Approaches to Father Engagement and Fathers' Experiences

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix E References.docx	Supplementary Document	Uploaded 2014-04-22	Available
Appendix D IRB Certificate of Approval.pdf	Supplementary Document	Uploaded 2014-04-22	Available
Appendix C Staff Confidentiality Pledge.doc	Supplementary Document	Uploaded 2014-04-22	Available
Appendix A-5b Parent Flyer_Spanish.docx	Supplementary Document	Uploaded 2014-04-22	Available
Appendix A-5a Parent Flyer.docx	Supplementary Document	Uploaded 2014-04-22	Available
Appendix A-4b Parent Consent Form_Spanish.docx	Supplementary Document	Uploaded 2014-04-22	Available
Appendix A-9a Parent Consent Form_final.docx	Supplementary Document	Uploaded 2014-08-29	Available
Appendix A-8 Staff Consent Form_final.docx	Supplementary Document	Uploaded 2014-08-29	Available
Appendix A-1 Program Recruitment Letter final.docx	Supplementary Document	Uploaded 2014-08-29	Available
FAHV OMB Part B response to 2nd passback_final.docx	Supporting Statement B	Uploaded 2014-08-29	Available
FAHV OMB Part A - response to 2nd passback_final.docx	Supporting Statement A	Uploaded 2014-08-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211365	Home Visit Observation Sheet	Instruction	New
211364	Interview Guide for Mothers-English and Spanish versions	Other-Guide	New
211363	Interview Guide for Fathers-English and Spanish versions	Other-Guide	New
211362	Interview Guide for Home Visitors	Other-Interview Guide	New
211361	Interview Guide for Program Administrators	Other-Interview Guide	New
211360	Guide for Selecting Parents for Interviews	Other-Guide	New

ICR Details

OMB Control No: 0970-0448	ICR Reference No: 201404-0970-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Home Visiting: Approaches to Father Engagement and Fathers' Experiences
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: 08/29/2014
	Date Received in OIRA: 04/30/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	12 Months From Approved
Responses	105	0	0
Time Burden (Hours)	167	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval to collect proposed information in support of a study of approaches used by selected home visiting programs to actively engage fathers in their program services. ACF is interested in obtaining information to disseminate lessons from these home visiting programs to other home visiting programs as well as to those who provide program oversight and assistance. Through the proposed information collection, the researchers will obtain information about the strategies used by the home visiting programs to actively engage fathers in home visiting services, the perspectives and experiences of staff in these programs, and the experiences and views of fathers who have participated in the selected programs as well as the views of the mothers. The study will include site visits to five selected home visiting programs that vary in their service delivery models, the populations they serve, and geographic location. Information will be collected through small group and one-on-one discussions with program directors, supervisors/coordinators, home visitors, and participating fathers and mothers.

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Authorizing Statute(s): PL: Pub.L. 113 - 76 DIVISION H - DOL, HHS, ED Name of Law: Consolidated Appropriations Act, 2014
  

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:
	78 FR 48689	08/09/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 22819	04/24/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Guide for Selecting Parents for Interviews
Interview Guide for Home Visitors
Interview Guide for Program Administrators
Interview Guide for Fathers-English and Spanish versions
Interview Guide for Mothers-English and Spanish versions
Home Visit Observation Sheet

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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	105	0	0	105	0	0
Annual Time Burden (Hours)	167	0	0	167	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.

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Annual Cost to Federal Government: $399,440

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

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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: 04/30/2014

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