Mother and Infant Home Visiting Program Evaluation (MIHOPE)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
MIHOPE Check-in - Memo to OMB re Changes to Incentive for 3.5 year old round FOR OMB 25jul16.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-25	Repair queued
Attachment 5_MIHOPE Check-in Respondent Materials_Updated_072516.pdf	Supplementary Document	Uploaded 2016-07-25	Available
MIHOPE Check-in - Memo to OMB re Revisions to survey for 3.5 year old round 3.11.16.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-03-18	Available
Attachment 3_MIHOPE Check-in 2.5 year old Assessment_revised_TRACKED.docx	Supplementary Document	Uploaded 2015-08-19	Available
MIHOPE Check-in - revisions to 2.5 year old survey.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-08-19	Available
Attachment 4_MIHOPE Check-in Respondent Materials.pdf	Supplementary Document	Uploaded 2015-06-08	Repair queued
Attachment 2_MIHOPE Phase 2 Supporting Statement A and B.docx	Supplementary Document	Uploaded 2015-06-08	Available
Attachment 1_MIHOPE Phase 1 Supporting Statement A and B.docx	Supplementary Document	Uploaded 2015-06-08	Available
MIHOPE2 follow-up survey - request for nonsubstantive changes 05mar15.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-08	Available
MIHOPE2 responses to OMB comments on incentive memo 05mar15.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-08	Available
MIHOPE request for incentive increase 01dec14.docx	Supplementary Document	Uploaded 2015-04-08	Available
MIHOPE Check-in_Supporting Statement B REVISED clean 25jul16 FOR OMB.docx	Supporting Statement B	Uploaded 2016-07-25	Available
MIHOPE Check-in_Supporting Statement A REVISED clean FOR OMB 25jul16.docx	Supporting Statement A	Uploaded 2016-07-25	Available
MIHOPE Changes to Follow Up Survey-Memo to OMB-Mar2014 .docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-03-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216914	Child and Family Outcome Survey and Updating Contact Information	Other-Check-In	Unchanged
205475	Measuring Height and Weight	Other-Protocol - Child assessments	Unchanged
205474	Direct Child Assessments	Other-Protocol - Child assessments	Unchanged
205473	Direct parent-child interaction	Other-Protocol - parent-child interaction	Unchanged
205472	Family follow-up survey	Other-Survey	Unchanged
205471	Home Visitor Logs - Past 15 months	Other-Logs	Unchanged
205470	Combined Home Visitor-Supervisor 12 Month Survey	Other-Survey	Unchanged
205469	Combined Home Visitor - Supervisor Baseline Survey	Other-Survey	Unchanged
203185	Family Screening and Consent	Other-Screener	Unchanged
201664	Home Visitor Individual Interview 12 Month	Other-Interview	Unchanged
201663	Home Visitor Group Interview 12 Month	Other-Interview	Unchanged
201662	Supervisor Group Interview 12 Month	Other-Interview	Unchanged
201661	Program Manager Group Interview 12 Month	Other-Interview	Unchanged
201660	Home Visitor Logs	Other-Logs	Unchanged
201659	Supervisor Logs	Other-Logs	Unchanged
201658	Other Home Visiting Programs Survey	Other-Survey	Unchanged
201657	Community Service Provider Survey	Other-Survey	Unchanged
201656	Home Visitor Survey 12 Month	Other-Survey	Unchanged
201655	Home Visitor Survey Baseline	Other-Survey	Unchanged
201654	Supervisor Survey 12 Month	Other-Survey	Unchanged
201653	Supervisor Survey Baseline	Other-Survey	Unchanged
201652	Program Manager Survey 12 Month	Other-Survey	Unchanged
201651	Program Manager Survey_Part 3 Baseline	Other-Survey	Unchanged
201650	Program Manager Survey_Part 2 Baseline	Other-Survey	Unchanged
201649	Program Manager Survey_Part 1 Baseline	Other-Survey	Unchanged
201648	State Administrator Interview 12 Month	Other-Interview	Unchanged
201647	State Administrator Interview Baseline	Other-Interview	Unchanged
201646	Family Baseline Survey	Other-Survey	Unchanged
200745	Visits and Calls with Local Program Directors	Other-Visits and Calls	Unchanged
200744	Second Round Visits with State Administrators	Other-Site Visits	Unchanged
200743	First Round Visits with State Administrators	Other-Site Visits	Unchanged
200742	Telephone contact with state administrators	Other-Telephone Contact	Unchanged

ICR Details

OMB Control No: 0970-0402	ICR Reference No: 201607-0970-007
Status: Historical Inactive	Previous ICR Reference No: 201603-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: 21571
Title: Mother and Infant Home Visiting Program Evaluation (MIHOPE)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 10/04/2016
	Date Received in OIRA: 07/26/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	08/31/2018	08/31/2018
Responses	38,786	0	38,786
Time Burden (Hours)	13,311	0	13,311
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:
	79 FR 49325	08/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 32565	06/09/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 32

table that charts list of burden

IC Title	Form No.	Form Name
Home Visitor Survey 12 Month
Community Service Provider Survey
Program Manager Survey 12 Month
Supervisor Survey Baseline
Supervisor Survey 12 Month
Home Visitor Survey Baseline
Home Visitor Individual Interview 12 Month
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
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
Child and Family Outcome Survey and Updating Contact Information
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

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $800,000

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: 07/26/2016

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