Project LAUNCH Cross-Site Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment S_Communication with Project LAUNCH Parents.docx	Supplementary Document	Uploaded 2016-10-07	Available
Attachment R_Parent Information Collection Form for School and ECE Coordinators.docx	Supplementary Document	Uploaded 2016-03-14	Repair queued
Attachment Q_Communication with Project LAUNCH School Survey Respondents.docx	Supplementary Document	Uploaded 2016-03-14	Available
Attachment L_Project LAUNCH Research Questions Constructs and Operational Definitions.docx	Supplementary Document	Uploaded 2016-10-07	Available
Attachment A_Crosswalk of MSE Part A and CSE Surveys.docx	Supplementary Document	Uploaded 2016-03-14	Available
Project LAUNCH MSE_OMB-SSB.docx	Supporting Statement B	Uploaded 2016-10-07	Available
Project LAUNCH MSE_OMB-SSA.docx	Supporting Statement A	Uploaded 2016-10-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220623	Key Informant Interviews on Systems Change	Other-Discussion Protocol	New
220622	School Survey	Other-Survey	New
220621	Collection of Student Demographics for Teacher Survey (EDI)	Other-Data export form	New
220620	Teacher Survey (EDI)	Other-Survey	New
220619	Parent Survey	Other-Survey	New
220618	Recruitment of School Districts, Schools, ECEs, and Participants	Other-Recruitment Materials	New
207347	Outcomes Data Tables in End of Year Reports	Other-Data Tables	Removed
207346	Chair of State Child Wellness Council Interview Guide	Other-Interview	Removed
207345	State Child Wellness Coordinator Interview Guide	Other-Interview	Removed
207344	Local Stakeholder Interview Guide	Other-Interview	Removed
207343	Chair of Local Child Wellness Council Interview Guide	Other-Interview	Removed
207342	Child Wellness Coordinator Interview Guide	Other-Interview	Removed
191015	Direct Services Survey	Other-Survey	Modified
191014	Systems Activities and Outcomes Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0373	ICR Reference No: 201603-0970-009
Status: Historical Active	Previous ICR Reference No: 201306-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: 19738
Title: Project LAUNCH Cross-Site Evaluation
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: 10/07/2016
	Date Received in OIRA: 03/16/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	36 Months From Approved	10/31/2016
Responses	1,808	0	264
Time Burden (Hours)	2,393	0	1,000
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 (DHHS) seeks approval for collection of data to conduct the multi-site evaluation (MSE) of Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health). OMB has approved a previous data collection package for Project LAUNCH (OMB Control # 0970-0373). This current request is intended to: 1) modify selected previously approved items, and 2) introduce new measures and methods. The Project LAUNCH Multi-Site Evaluation (MSE) was initially funded by an Interagency Agreement between the Substance Abuse and Mental Health Services Administration (SAMHSA) and ACF. This contract, which SAMHSA now funds directly, was awarded to NORC at the University of Chicago and includes the design of and data collection for the MSE. While we propose to utilize some items that are similar to those that have already been approved, the research proposed in this package seeks to evaluate the impact of Project LAUNCH at the community level—the intended focus of the program—and relies on instruments and measures that differ from those used in the previous stage of the evaluation.

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Authorizing Statute(s): US Code: 42 USC 520A Name of Law: Public Health Service 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:
	80 FR 15016	03/20/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 14114	03/16/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Recruitment of School Districts, Schools, ECEs, and Participants
Parent Survey
Teacher Survey (EDI)
School Survey
Key Informant Interviews on Systems Change
Systems Activities and Outcomes Survey
Direct Services Survey
Local Stakeholder Interview Guide
State Child Wellness Coordinator Interview Guide
Outcomes Data Tables in End of Year Reports
Chair of State Child Wellness Council Interview Guide
Chair of Local Child Wellness Council Interview Guide
Child Wellness Coordinator Interview Guide
Collection of Student Demographics for Teacher Survey (EDI)

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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	1,808	264	0	1,544	0	0
Annual Time Burden (Hours)	2,393	1,000	0	1,393	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 for additional data collection under OMB #0970-0373.

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Annual Cost to Federal Government: $668,695

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: 03/16/2016

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