Information Collection Request

Pre-testing of Evaluation Data Collection Activities

ICR 202105-0970-011 · OMB 0970-0355 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment A -Use of Pretesting Generic Clearance (0970-0355) – 2018-2021.docx Supplementary Document Uploaded 2021-05-18 Missing upstream
Supporting Statement B - Umbrella Generic for Pretesting_Extension 2021.docx Supporting Statement B Uploaded 2021-05-18 Available
Supporting Statement A - Umbrella Generic for Pretesting_Extension 2021.docx Supporting Statement A Uploaded 2021-05-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247483 Touchpoints for Addressing Substance Use Issues in Home Visiting: Performance Measurement Pilot Other-Reporting Tool New
247466 Mother and Infant Home Visiting Program Evaluation: Kindergarten Follow-Up (MIHOPE-K) Other-Recruitment Screener New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2021
3,825 3,825
3,825 3,825
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Mother and Infant Home Visiting Program Evaluation: Kindergarten Follow-Up (MIHOPE-K)
Touchpoints for Addressing Substance Use Issues in Home Visiting: Performance Measurement Pilot

table that charts list of burden
  Total Request 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 3,825 3,825 0 0 0 0
Annual Time Burden (Hours) 3,825 3,825 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No