Information Collection Request

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

ICR 202002-0970-011 · OMB 0970-0527 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
RPG Non-substantive change memo to OMB_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-02 Available
RPG Part_A_Draft_to CB_CLEAN.docx Supporting Statement A Uploaded 2020-03-02 Available
Appendix I Partner Survey FAQ.docx Supplementary Document Uploaded 2019-01-09 Available
Appendix H_Partner Survey Outreach Emails.docx Supplementary Document Uploaded 2019-01-09 Repair queued
Appendix A_Copy of authorizing legislation.pdf Supplementary Document Uploaded 2019-01-09 Available
RPG Part_B_Draft_to CB_CLEAN.docx Supporting Statement B Uploaded 2020-03-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234670 Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F) Other-Data Elements Modified
234669 Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F) Other-Data Elements Modified
234668 Outcomes and impacts data - Standardized instruments: Data entry for standardized instruments (Appendix F) Other-Data Elements Modified
234667 Outcomes and impacts data - Standardized instruments: Review and adopt reporting templates (Appendix F) Other-Data Elements Modified
234666 Outcomes and impacts data - Administrative data: Report administrative data (Appendix G) Other-Admin Data Modified
234665 Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G) Other-Admin Data Modified
234663 Enrollment and services data: Service log entries (Appendix E) Other-Data Elements Modified
234662 Enrollment and services data: Case closure – prenatal (Appendix E) Other-Data Elements Modified
234661 Enrollment and services data: Case closure (Appendix E) Other-Data Elements Modified
234656 Enrollment and services data: Case enrollment data (Appendix E) Other-Data Elements Modified
234655 Enrollment and services data: Semiannual progress reports (Appendix D) Other-Progress Report Modified
234654 Site visit and key informant data collection: Partner survey (Appendix C) Other-Survey Modified
234653 Site visit and key informant data collection: PD/PM phone interview (Appendix B) Other-Interview Modified
234652 Site visit and key informant data collection: Frontline staff interviews (Appendix B) Other-Interview Modified
234651 Site visit and key informant data collection: Partner representative interviews (Appendix B) Other-Interview Modified
234650 Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B) Other-Interview Modified
234648 Site visit and key informant data collection: Program director individual interview (Appendix B) Other-Interview Guide Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2022 05/31/2022 05/31/2022
501,548 0 386,961
40,613 0 31,396
0 0 0





Reginfo record details
17
table that charts list of burden
IC Title Form No. Form Name
Site visit and key informant data collection: Partner survey (Appendix C)
Site visit and key informant data collection: Partner representative interviews (Appendix B)
Enrollment and services data: Case enrollment data (Appendix E)
Enrollment and services data: Case closure (Appendix E)
Enrollment and services data: Service log entries (Appendix E)
Outcomes and impacts data - Administrative data: Report administrative data (Appendix G)
Outcomes and impacts data - Standardized instruments: Review and adopt reporting templates (Appendix F)
Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)
Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)
Site visit and key informant data collection: Program director individual interview (Appendix B)
Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B)
Site visit and key informant data collection: Frontline staff interviews (Appendix B)
Site visit and key informant data collection: PD/PM phone interview (Appendix B)
Enrollment and services data: Semiannual progress reports (Appendix D)
Enrollment and services data: Case closure – prenatal (Appendix E)
Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix G)
Outcomes and impacts data - Standardized instruments: Data entry for standardized instruments (Appendix F)

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 501,548 386,961 0 0 114,587 0
Annual Time Burden (Hours) 40,613 31,396 0 0 9,217 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No