Information Collection Request

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 202011-0970-004 · OMB 0970-0462 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
OMB#-970-0462_Non-substantive Change Request_November2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-11-13 Available
OMB#0970-0462_NonSubstantive Change Request _June 2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-06-24 Available
Attachment J_Interview Verbal Informed Consent Form_Remote.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment I_Focus Group Informed Consent Form_Remote.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2020-06-24 Available
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2020-06-24 Available
Attachment B. National Evaluation Informed Consent Forms A_Lottery Required_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
OMB#0970-0462_NonSub Change Request_Temporary Use of Verbal Consent Forms_04152020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-16 Available
Attachment B3_Tribal Evaluation informed consent Form D Unique Identifiers_Verbal.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B2_Tribal Evaluation_informed consent Form C SSNs_Verbal.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment B_National Evaluation informed consent Form D_ lottery not required-Verbal.docx Supplementary Document Uploaded 2020-04-16 Available
Attachment B. National Evaluation Informed Consent Form C Lottery Required _Verbal_REV.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment Z_ Participant Interview Recruitment Materials.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment Y 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2019-04-18 Available
Attachment X_Complete List of Previously Approved Instruments for HPOG 2.0.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment W_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Script.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment V_HPOG 2.0_phone based Skills Assessment Pilot_ParticipantLetter.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment U_HPOG 2.0_phone based Skills Assessment Pilot_Grantee Letter.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment T_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Flyer.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment S_HPOG 2.0_Intermediate Follow-up Email Reminder_REV.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment R_HPOG 2.0_Intermediate Follow-upSurvey_Flyer.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment Q_HPOG 2.0 Intermediate Follow-up Survey Sources_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment P_HPOG 2.0_Intermediate Follow-up Survey Advance Letter_REV.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment O_ResearchQuestions for Previously Approved National and Tribal Evaluation Efforts.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment N_HPOG2.0_Short-Term Followup Short-Term Survey_ Email Remind_revised_010918_clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment M_HPOG 2.0_Short-Term Survey Flyer 01092018.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment L_HPOG 2.0 Short-Term Followup Followup Survey Sources_Rev_121217_Clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment K_HPOG2.0_Short-Term Followup Survey Advance Letter_Rev_01092018_Clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment K_HPOG 2 0 Incentive Communications_Email and Letter_071117 CLEAN.docx Supplementary Document Uploaded 2017-07-12 Available
Attachment J_Interview Verbal Informed Consent Form.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment I_Focus Group Informed Consent Form.docx Supplementary Document Uploaded 2020-06-24 Available
Attachment H_HPOG- Model.pptx Supplementary Document Uploaded 2016-10-24 Available
Attachment A_References_Revised 09 02 16.docx Supplementary Document Uploaded 2016-10-24 Available
Attachment G. Contact Update Letter and Form.docx Supplementary Document Uploaded 2015-05-11 Available
HPOG 2.0 Supporting Statement B_Revised_NonSubChange_November 2020_Tracked to ACF_Revised_clean.docx Supporting Statement B Uploaded 2020-11-13 Available
HPOG 2.0_Supporting Statement A_Revised_NonSubChange November 2020_Tracked to ACF_Revised_clean.docx Supporting Statement A Uploaded 2020-11-13 Available
Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document Uploaded 2015-05-06 Available
FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document Uploaded 2015-08-05 Available
Attachment D. Sources and Justification_5.4.15.docx Supplementary Document Uploaded 2015-05-06 Available
Attachment C_HPOG 2.0 15 mos follow up - 60 Day FRN_8.30.17.pdf Supplementary Document Uploaded 2018-02-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244488 Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet Other-Welcome Packet New
242412 Instrument 18a: Intermediate Follow-up Survey for the National Evaluation impact study - Critical Items Only Other-Survey Unchanged
235780 Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study Other-Survey Unchanged
229938 Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form Other-Update Form Modified
224119 Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews Other-Interview Unchanged
224118 Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews Other-Interview Unchanged
224113 Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups Other-Focus Group Unchanged
224112 Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews Other-Interview Unchanged
224110 Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews Other-Interview Unchanged
224107 Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews Other-Interview Unchanged
216432 PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System Unchanged
216431 PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System Unchanged
216430 PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2022 07/31/2022 07/31/2022
27,783 0 22,696
9,143 0 8,151
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 27,783 22,696 0 5,087 0 0
Annual Time Burden (Hours) 9,143 8,151 0 992 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No