Information Collection Request

Home Visiting Career Trajectories

ICR 201802-0970-002 · OMB 0970-0512 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supplemental Attachment - HVCT- OMB FollowUp Memo_062618_final.docx Supplementary Document Uploaded 2018-06-28 Available
ATTACHMENT K_Telephone Recruitment for Focus Group Participants_mj_urban_tc_mj_urban 2-7 clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT J_Recruitment Email for Potential Key Informant Interviewees_mj_urban_clean.docx Supplementary Document Uploaded 2018-02-09 Repair queued
ATTACHMENT I_Recruitment Email to Program Staff_mj_urban_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT H_Reminder Email to Program Managers_mj_urban_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT G_Program Manager Recruitment Call Script_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT F_Recruitment Email to Program Managers_mj_urban_tc_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT E_IRB Notice of Apporval_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT D_UI Staff Confidentiality Pledge_mj_clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT C_HVCT - 60 Day FRN_9.27.17.pdf Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT B_Focus Group Consent Form_mj_urban_tc_mj_urban 2-7 clean.docx Supplementary Document Uploaded 2018-02-09 Available
ATTACHMENT A_Interview Consent Form_mj_urban_tc_mj_urban 2-7 clean.docx Supplementary Document Uploaded 2018-02-09 Available
OMB Supporting Statement B.January 2018_mj_urban_tc_mj_urban 2-7 clean.docx Supporting Statement B Uploaded 2018-02-09 Available
OMB Supporting Statement A. revised 6-19-18 430pm_clean.docx Supporting Statement A Uploaded 2018-06-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
230035 Key informant interview guide – training and technical assistance experts Other-Interview Protocol New
230034 Self-administered questionnaire for focus group participants Other-Questionnaire New
230033 Focus group moderator's guide Other-Focus Group Guide New
230032 Key informant interview guide – management and supervisory staff Other-Interview Guide New
230031 Home visitor and supervisor survey Other-survey New
230030 Program manager survey Other-survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 15 Months From Approved
4,770 0 0
2,510 0 0
0 0 0





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 4,770 0 0 4,770 0 0
Annual Time Burden (Hours) 2,510 0 0 2,510 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No