Mother and Infant Home Visiting Program Evaluation (MIHOPE): Kindergarten Follow-Up (MIHOPE-K)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA Attachment 14 MIHOPE-K Child Welfare Records Request.docx	Supplementary Document	Uploaded 2018-11-28	Repair queued
SSA Attachment 13 MIHOPE-K School Records Request.docx	Supplementary Document	Uploaded 2018-11-28	Available
SSA Attachment 12 MIHOPE-K Parent Website.docx	Supplementary Document	Uploaded 2018-11-28	Available
SSB Attachment 11 MIHOPE-K newsletter shell 26apr18 FINAL.docx	Supplementary Document	Uploaded 2018-05-09	Available
SSB Attachment 10 MIHOPE-K teacher contact materials 01may18 FINAL.docx	Supplementary Document	Uploaded 2018-05-09	Available
SSB Attachment 9 MIHOPE-K caregiver contact materials (updated 10.1.18).docx	Supplementary Document	Uploaded 2018-11-28	Available
SSA Attachment 7 60-day Federal Register Notice 01may18 FINAL.pdf	Supplementary Document	Uploaded 2018-05-09	Available
Early bird incentive OMB memo response 5.30.17.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-06-05	Repair queued
Attachment 5_MIHOPE Check-in Respondent Materials 5.30.17.pdf	Supplementary Document	Uploaded 2018-05-09	Available
MIHOPE-LT_Supporting Statement B_updated 11.15.18 clean.docx	Supporting Statement B	Uploaded 2018-11-28	Available
MIHOPE-LT_Supporting Statement A_updated 11.15.18 clean.docx	Supporting Statement A	Uploaded 2018-11-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234184	School records: data file submission	Other-Records Request	New
234183	State child welfare records: data file submission	Other-Data File Submission	New
234181	Caregiver website	Other-Website	New
231391	Videotaped caregiver-child interactions - MIHOPE-K	Other-Video	New
231390	Direct assessments of caregivers - MIHOPE-K	Other-Direct Assessment Protocol	New
231389	Survey of the focal children's teachers - MIHOPE-K	Other-Survey	New
231388	Semi-structured interview with caregivers - MIHOPE-K	Other-Interview	New
231387	Direct assessments of children - MIHOPE-K	Other-Protocol - Direct Assessments	New
231386	Structured interview with caregivers - MIHOPE-K	Other-Interview	New
216914	Child and Family Outcome Survey and Updating Contact Information (2.5 & 3.5 year) - MIHOPE Check-In	Other-Check-In	Modified
205475	Measuring Height and Weight	Other-Protocol - Child assessments	Removed
205474	Direct Child Assessments	Other-Protocol - Child assessments	Removed
205473	Direct parent-child interaction	Other-Protocol - parent-child interaction	Removed
205472	Family follow-up survey	Other-Survey	Removed
205471	Home Visitor Logs - Past 15 months	Other-Logs	Removed
205470	Combined Home Visitor-Supervisor 12 Month Survey	Other-Survey	Removed
205469	Combined Home Visitor - Supervisor Baseline Survey	Other-Survey	Removed
203185	Family Screening and Consent	Other-Screener	Removed
201664	Home Visitor Individual Interview 12 Month	Other-Interview	Removed
201663	Home Visitor Group Interview 12 Month	Other-Interview	Removed
201662	Supervisor Group Interview 12 Month	Other-Interview	Removed
201661	Program Manager Group Interview 12 Month	Other-Interview	Removed
201660	Home Visitor Logs	Other-Logs	Removed
201659	Supervisor Logs	Other-Logs	Removed
201658	Other Home Visiting Programs Survey	Other-Survey	Removed
201657	Community Service Provider Survey	Other-Survey	Removed
201656	Home Visitor Survey 12 Month	Other-Survey	Removed
201655	Home Visitor Survey Baseline	Other-Survey	Removed
201654	Supervisor Survey 12 Month	Other-Survey	Removed
201653	Supervisor Survey Baseline	Other-Survey	Removed
201652	Program Manager Survey 12 Month	Other-Survey	Removed
201651	Program Manager Survey_Part 3 Baseline	Other-Survey	Removed
201650	Program Manager Survey_Part 2 Baseline	Other-Survey	Removed
201649	Program Manager Survey_Part 1 Baseline	Other-Survey	Removed
201648	State Administrator Interview 12 Month	Other-Interview	Removed
201647	State Administrator Interview Baseline	Other-Interview	Removed
201646	Family Baseline Survey	Other-Survey	Removed
200745	Visits and Calls with Local Program Directors	Other-Visits and Calls	Removed
200744	Second Round Visits with State Administrators	Other-Site Visits	Removed
200743	First Round Visits with State Administrators	Other-Site Visits	Removed
200742	Telephone contact with state administrators	Other-Telephone Contact	Removed

ICR Details

OMB Control No: 0970-0402	ICR Reference No: 201805-0970-004
Status: Historical Active	Previous ICR Reference No: 201705-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No: 21571
Title: Mother and Infant Home Visiting Program Evaluation (MIHOPE): Kindergarten Follow-Up (MIHOPE-K)
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: 11/28/2018
	Date Received in OIRA: 05/14/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved	11/30/2018
Responses	10,061	0	38,786
Time Burden (Hours)	6,318	0	13,311
Cost Burden (Dollars)	0	0	0

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Abstract: In 2011, the Administration for Children and Families (ACF) and the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS) launched the Mother and Infant Home Visiting Program Evaluation (MIHOPE). MIHOPE is providing information about the effectiveness of the Maternal, Infant, and Early Childhood Home Visiting program (MIECHV) in its first few years of operation and providing information to help states and others develop and strengthen home visiting programs in the future. The goals of the study are: (1) to understand the effects of home visiting programs on parent and child outcomes, both overall and for key subgroups of families, (2) to understand how home visiting programs were implemented and how implementation varied across programs, and (3) to understand which features of local home visiting programs are associated with larger or smaller program impacts. To estimate the effects of home visiting on family outcomes, MIHOPE enrolled over 4,200 families across 88 sites in 12 states. Families were eligible for the study if they included a pregnant woman or an infant under six months old and the mother was at least 15 years old at the time of study entry. OMB previously approved data collection packages (0970-0402) for three phases of MIHOPE: MIHOPE 1, MIHOPE 2, and MIHOPE Check-in. This request is related to the MIHOPE Long-Term Follow-Up project (MIHOPE-LT) and is specific to the kindergarten follow-up (MIHOPE-K).

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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:
	83 FR 4208	01/30/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 22269	05/14/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
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
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
Program Manager Survey 12 Month
Supervisor Survey Baseline
Supervisor Survey 12 Month
Home Visitor Survey Baseline
Measuring Height and Weight
Structured interview with caregivers - MIHOPE-K
Direct assessments of children - MIHOPE-K
Semi-structured interview with caregivers - MIHOPE-K
Survey of the focal children's teachers - MIHOPE-K
Direct assessments of caregivers - MIHOPE-K
Videotaped caregiver-child interactions - MIHOPE-K
Home Visitor Survey 12 Month
Community Service Provider Survey
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
Home Visitor Individual Interview 12 Month
Family Screening and Consent
First Round Visits with State Administrators
Second Round Visits with State Administrators
Child and Family Outcome Survey and Updating Contact Information (2.5 & 3.5 year) - MIHOPE Check-In
Telephone contact with state administrators
Visits and Calls with Local Program Directors
Family Baseline Survey
State child welfare records: data file submission
School records: data file submission
Caregiver website

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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	10,061	38,786	0	-28,725	0	0
Annual Time Burden (Hours)	6,318	13,311	0	-6,993	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 a request to collect additional information from respondents participating in the MIHOPE Evaluation (0970-0402). Burden has also been updated to reflect completed data collections that were previously approved.

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Annual Cost to Federal Government: $8,280,638

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? 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: 05/14/2018

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