OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]

ICR 202004-0970-009

OMB: 0970-0462

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2020-04-16
Supplementary Document
2020-04-16
Supplementary Document
2020-04-16
Supplementary Document
2020-04-16
Supplementary Document
2020-04-16
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2019-04-18
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2017-07-12
Supplementary Document
2016-10-24
Supplementary Document
2016-10-24
Supplementary Document
2016-10-24
Supplementary Document
2016-06-16
Supplementary Document
2016-06-16
Supplementary Document
2016-06-16
Supplementary Document
2016-10-24
Supplementary Document
2015-05-11
Supporting Statement B
2020-04-16
Supporting Statement A
2020-04-16
Supplementary Document
2015-05-06
Supplementary Document
2015-08-05
Supplementary Document
2015-05-06
Supplementary Document
2018-02-01
Supplementary Document
2016-01-26
IC Document Collections
IC ID
Document
Title
Status
235782 Unchanged
235781 Unchanged
235780 Unchanged
235779 Unchanged
235778 Unchanged
235777 Unchanged
235776 Modified
235775 Unchanged
229940 Unchanged
229938 Unchanged
224119 Unchanged
224118 Unchanged
224113 Unchanged
224112 Unchanged
224110 Unchanged
224107 Unchanged
216432 Unchanged
216431 Unchanged
216430 Unchanged
ICR Details
0970-0462 202004-0970-009
Historical Active 201904-0970-006
HHS/ACF OPRE
OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/23/2020
Retrieve Notice of Action (NOA) 04/16/2020
  Inventory as of this Action Requested Previously Approved
07/31/2022 07/31/2022 07/31/2022
21,040 0 21,040
9,780 0 9,780
0 0 0

The Health Profession Opportunity Grants (HPOG) Program provides healthcare occupational training for Temporary Assistance for Needy Families (TANF) recipients and other low-income people. Under normal study enrollment procedures, local HPOG 2.0 grantee staff conduct face-to-face intake interviews and administer informed consent. As part of the consent process, study participants sign the form in ink. As a result of the recent COVID-19 outbreak, most HPOG programs have changed to operate their programs virtually, including asking staff to work remotely and offering participant trainings online. These restrictions have brought the face-to-face intake and enrollment sessions to a sudden halt in many locations. However, grantees are eager to continue enrollment in the interest of serving the healthcare workforce needs in their communities. In order to facilitate grantees’ continued enrollment of new participants while their programs operate remotely, we have developed a new set of consent forms to allow grantee staff to obtain informed consent verbally. The new set of forms include only minor revisions from the already approved versions for written consent to allow for verbal consent. • Attachment B: National Evaluation informed consent form C (Lottery Required)_Verbal • Attachment B: National Evaluation informed consent form D (Lottery Not Required)_Verbal • Attachment B2: Tribal Evaluation informed consent form C (SSNs)_Verbal • Attachment B3: Tribal Evaluation informed consent form D (Unique identifiers)_Verbal

PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  
None

Not associated with rulemaking

  83 FR 66715 12/27/2018
84 FR 16870 04/23/2019
No

19
IC Title Form No. Form Name
Instrument 13: Screening tool for identifying respondents for second-round telephone interviews
Instrument 15: Program operator interview guide for the systems study
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
Instrument 20: Program cost survey
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
PAGES Grantee- and Participant-Level Data Collection (all grantees)
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation
Instrument 14: Second round telephone interview protocol for non-tribal HPOG grantee staff and partners
Instrument 16: Partner interview guide for the systems study
Instrument 17: Participant interview guide
Instrument 19: Phone-based Skills Assessment Pilot Instrument

  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 21,040 21,040 0 0 0 0
Annual Time Burden (Hours) 9,780 9,780 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$4,717,923
No
    Yes
    No
Yes
No
No
Yes
Molly Buck 202 205-4724 [email protected]

  No

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.
04/16/2020


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