Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment B - ADVHOCaT Consent Form for Survey 8-27-15.docx	Supplementary Document	Uploaded 2015-09-17	Available
ADVHOCaT_SS_B 8-27-15 - ACF-OPRE Response - 11-20-15_clean.doc	Supporting Statement B	Uploaded 2015-11-20	Available
ADVHOCaT_SS_A 8-27-15.doc	Supporting Statement A	Uploaded 2015-09-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218232	NDVH/LIR Preference of Use Survey	Other-Survey	New

ICR Details

OMB Control No: 0970-0468	ICR Reference No: 201509-0970-013
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study
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: 12/01/2015
	Date Received in OIRA: 09/23/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	12 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	205	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of Planning, Research and Evaluation (OPRE) and the Family and Youth Services Bureau (FYSB) of the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seek approval for an information collection activity as part of its effort to describe the activities of the National Domestic Violence Hotline (NDVH) and the Love Is Respect (LIR) hotline (otherwise known as the National Dating Abuse Helpline). To carry out this work, OPRE and FYSB have contracted with the George Washington University Milken School of Public Health. This Information Collection Request (ICR) addresses new data to be collected from a web-based survey of visitors to the NDVH and LIR websites. The data will address a gap in understanding the preferred mode of contact (i.e. phone, chat, or text) by those who contact the NDVH/LIR.

---

Authorizing Statute(s): US Code: 42 USC 613 Name of Law: Social Security Act: Research, Evaluations and National Studies
  

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:
	80 FR 42823	07/20/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 57181	09/22/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NDVH/LIR Preference of Use Survey

---

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	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	205	0	0	205	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.

---

Annual Cost to Federal Government: $16,156

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 09/23/2015

---