National Healthy Start Evaluation and Quality Assurance
Revision of a currently approved collection
No
Regular
Approved with change
11/04/2016
09/20/2016
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
11/30/2019
36 Months From Approved
06/30/2017
102,207
0
41,183
31,145
0
20,953
0
0
0
The national Healthy Start (HS) evaluation will include an implementation evaluation, which will describe program components that affect outcomes; a health services utilization evaluation, which will examine the characteristics of women and infants who did and did not utilize the program; and an outcome evaluation, which will assess the programâs effectiveness with regard to producing expected outcomes among the target population. The information collected will be used to obtain consistent information across all 100 grantees about HS and its outcomes and in-depth information for 15 HS communities. Respondents include pregnant women and women of reproductive age that were served by HS and HS staff.
The same individuals (40,675) complete the Demographic Intake and Pregnancy Status/History forms, and a subset of these same individuals (20,337) also complete the Preconception, Prenatal, Postpartum, and Interconception/Parenting forms for total of 61,532 respondents and responses.
A revision in the 3Ps form added to the burden amount as the instrument was separated into 6 forms from the 1 form in 2013.
Information technology has assisted in decreasing the burden for some instruments.
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:
(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;
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.
Form B6 B6 3Ps_Interconception_Parenting Form_revised.doc
Form F F. CAN Survey_revised.docx
C2. Reformatted 3Ps crosswalk_Final.xlsx
K. Healthy Start Evaluation IRB Package.pdf
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Forms 3-6