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
ADVHOCaT OMB memo_nonsub-change 1-24-18.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-01-25	Available
ADVHOCaT OMB memo_nonsub-change v2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-08-15	Repair queued
Attachment E -Follow-up Survey Script - FINAL_3-24-17.docx	Supplementary Document	Uploaded 2017-04-21	Available
Attachment C - Informed Consent - edited 1-24-18_clean.docx	Supplementary Document	Uploaded 2018-01-25	Available
Attachment B - ADVHOCAT Recruitment Script - FINAL_3-24-17.docx	Supplementary Document	Uploaded 2017-04-21	Available
Attachment A - ADVHOCaT Research Questions and Data Sources v3 - FINAL_3-24-17.docx	Supplementary Document	Uploaded 2017-04-21	Available
ADVHOCaT_SS_B - edited 1-24-18_clean.doc	Supporting Statement B	Uploaded 2018-01-25	Available
ADVHOCaT_SS_A - edited 1-23-18_clean.doc	Supporting Statement A	Uploaded 2018-01-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226498	The Hotline/LIR Follow-up Survey	Other-Survey	Modified
226497	The Hotline/LIR Exit Survey	Other-Exit Survey	Modified

ICR Details

OMB Control No: 0970-0468	ICR Reference No: 201801-0970-006
Status: Historical Active	Previous ICR Reference No: 201708-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study
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: Approved without change	Conclusion Date: 01/29/2018
	Date Received in OIRA: 01/25/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	07/31/2019	07/31/2019
Responses	2,200	0	2,200
Time Burden (Hours)	275	0	275
Cost Burden (Dollars)	0	0	0

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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 and short-term outcomes of the National Domestic Violence Hotline (The Hotline) and loveisrespect (LIR) hotline. OPRE and FYSB have contracted with the Department of Prevention and Community Health at the Milken Institute School of Public Health at the George Washington University (GWU) to conduct the Accomplishments of the Domestic Violence Hotline, Online Connections, and Text (ADVHOCaT) project. This non-substantive change request is to make small modifications to the data collection procedures, consent script, and survey instruments associated with the ADVHOCaT Project. We are requesting this non-substantive change to the data collection procedures, consent script and survey instruments as a result of what we learned from our pilot implementation efforts. Supporting Statement A, Supporting Statement B, Attachment C, Instrument 1, and Instrument 2 of the approved ICR have been updated to reflect these requested revisions.

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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

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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:
	81 FR 89468	12/12/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 19245	04/26/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
The Hotline/LIR Follow-up Survey
The Hotline/LIR Exit Survey

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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	2,200	2,200	0	0	0	0
Annual Time Burden (Hours)	275	275	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: This request is for additional data collection under OMB #0970-0468. All data collection related to the previously approved information collection is complete, and there is therefore no burden remaining.

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Annual Cost to Federal Government: $16,156

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 01/25/2018

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