Attachment B - Ongoing Burden 0970-0531

Attachment B - Ongoing Burden 0970-0531.docx

Formative Data Collections for ACF Program Support

Attachment B - Ongoing Burden 0970-0531

OMB: 0970-0531

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Attachment A: Ongoing Burden – Formative Data Collections for ACF Program Support

(OMB #0970-0531)








December 2020






Office of Planning, Research, and Evaluation

Administration for Children and Families

U.S. Department of Health and Human Services


Mary Switzer Building

330 C St., SW

Washington, D.C. 20201





Previously Approved Information Collections

This generic was originally approved for 8,250 burden hours over the three year clearance period. Due to the success of this generic mechanism, ACF is requesting an increase to the estimated burden. While completing the process to increase the burden to the necessary scale, ACF submitted a change request for an interim burden increase. This increase was for 1,200 hours. Therefore, the previously approved burden under 0970-0531 was 9,450 hours.


Ongoing

The following data collections are ongoing at the time of this submission.


State Department of Education Contacts Form

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

State Department of Education Contacts Form

54

1

1

54

Estimated Burden Total:

54



Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Roundtable Protocol

1000

1

2.5

2500

Estimated Burden Total

2500



Feedback on Materials for Father Involvement National Media Campaign

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Exploratory Phase

Screener: Experts

10

1

.167

1.67

Interview: Experts

10

1

1

10

Screener: Fathers

18

1

.167

2

Interview: Father

8

1

1

8

Interview: Family Member

8

1

.75

6

Concept Testing Phase

Screener

30

1

.167

5

One-on-One interview

30

1

1

30

Follow-Up Questions

30

1

.167

5

Estimated Burden Total

65.33



Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates

Instrument

No. of Grantees

No. of Respondents per Grantee

No. of Responses per Respondent

Avg. Burden per Response (in hours)

Total Burden (in hours)

Implementation Plan Template (Instrument 1)

9

2

1

10

90

Evaluation Plan Template (Instrument 2)

9

2

1

8

72

Estimated Annual

Burden Total:

36

1

4.5

162



Tribal Continuous Quality Improvement Collaboratives

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Instrument 1: Plan-Do-Study-Act Planning Tool

19

10

3

570

Instrument 2: Monthly Data Reporting Template

19

10

2

380

Estimated Burden Total:

950



Survey of Higher Education Instructors to Support the Development of Teaching Materials Based on OPRE's Research and Evaluation

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Develop Teaching Materials: Faculty and Instructor Survey

350

1

.25

88

Estimated Burden Total:

88



Using Concept Mapping to Develop a Theory to Describe the Work of the National Domestic Violence Hotline with Family and Friends of Victims/Survivors – Formative Data Collection

Instrument/Activity

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

  1. Brainstorming

100

1

0.33

33

  1. Sorting

100

1

0.33

33

  1. Rating

100

1

0.33

33

  1. Interpretation Webinar Discussion

60

1

1

60

Estimated Burden Total:

159



OFA Training and Technical Assistance (TTA)

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Grantee Characteristics Form

136

1

1

136

Estimated Burden Total:

136


Communications Focus Groups for Remaking the Safety Net

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Instrument 1: Beneficiaries Online Screener

750

1

0.25


187.5

Instrument 2: Beneficiaries Telephone Screener

750

1

0.42


315

Instrument 3: Providers Online Screener

2,250

1

0.25


562.5

Instrument 4: Providers Telephone Screener

2,250

1

0.42


945

Instrument 5: Beneficiaries Discussion Guide

8

1

2


16

Instrument 6: Providers Discussion Guide

24

1

2


48

Estimated Burden Total:

2,074






Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (October 2020 Approval)

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

CONSORT Diagram Template

20

1.5

1

30

Baseline Equivalence Template

12

1.5

2

36

Estimated Burden Total:

66



Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (March 2020 approval)

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Impact analysis plan template

13

3

5

195

Descriptive analysis plan template

8

3

5

120

Lessons learned and promising practices template - PREIS

13

1

5

65

Lessons learned and promising practices template – Tribal PREP

8

1

5

40

Estimated Burden Total:

420


Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

1. Parent Screener Script

150

1

.08

12

2. Parent Discussion Guide

90

1

1.5


135

Estimated Burden Total:

147










Office of Early Childhood Development Radical Family Engagement National Stakeholder Meeting

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Semi-structured discussion questions

110

1

0.5

55

Estimated Burden Total:

55


Fathers and Continuous Learning in Child Welfare Project

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Site Visit Instruments

Instrument 1: Semi-Structured Protocol: Improvement Team Group Interview

48

1

1.5

72

Instrument 2: Semi-Structured Protocol: Focus Group with Engagement Strategy Staff

60

1

1.5

90

Instrument 3: Semi-Structured Protocol: Interview with Child Welfare Agency Leaders

6

1

1

6

Instrument 4: Semi-Structured Protocol: Group Interview of Fathers and Paternal Relatives on the Improvement Team

12

1

1

12

BSC Implementation Instruments

Instrument 5: Improvement Team Information Form

6

1

1

6

Instrument 6: Data Collection Planning Worksheet

60

1

2

120

Instrument 7: Discussion Forum Prompts

60

4

0.25

60

Instrument 8: Learning Session Day 1 Evaluation

36

3

0.16

18

Instrument 9: Action Planning Form

60

3

0.25

45

Instrument 10: Learning Session Overall Evaluation

60

4

0.25

60

Instrument 11: Site Self-Assessment

60

3

1.7

306

Instrument 12: Plan, Do, Study, Act (PDSA) Worksheet

60

15

0.25

225

Instrument 13: Implementation Assessment

60

2

0.33

40

Instrument 14: Speed Sharing for Learning Session 2

60

1

0.16

10

Instrument 15: Elevator Speech Assignment

36

2

0.5

36

Instrument 16: Spreading and Sustaining the Work

60

2

1

120

 

Estimated Burden Total:

1,225


Supporting Partnerships to Advance Research and Knowledge (Project SPARK)

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Instrument 1 – Safety

310

1

.168 hours (10 minutes)

52

Instrument 2 – Approaches to serving customers

310

1

.168 hours (10 minutes)

52

Instrument 3 – General wellbeing

310

1

.168 hours (10 minutes)

52

Instrument 4 – Engaging with customers remotely

310

1

.168 hours (10 minutes)

52

Instrument 5 – Remote services for customers

310

1

.168 hours (10 minutes)

52

Instrument 6 – Access to and use of technology

310

1

.168 hours (10 minutes)

52

Instrument 7 – Performance and accountability

310

1

.168 hours (10 minutes)

52

Totals:

310

7

1.18 hours (70 minutes)

364




Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template

Instrument

No. of Respondents (total over request period)

No. of Responses per Respondent (total over request period)

Avg. Burden per Response (in hours)

Total Burden (in hours)

Annual Burden (in hours)

Data collection plan template

113

3

6

2,034

678




Total Ongoing Burden:


Project

# Respondents

Burden Hours

Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care

1000

2500

State Department of Education Contacts Form

54

54

Fathers and Continuous Learning in Child Welfare Project

126

1225

Feedback on Materials for Father Involvement National Media Campaign

66

65

Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates

36

162

Tribal Continuous Quality Improvement Collaboratives

19

950

Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)

42

420

Survey of Higher Education Instructors to Support the Development of Teaching Materials Based on OPRE's Research and Evaluation

350

88

Using Concept Mapping to Develop a Theory to Describe the Work of the National Domestic Violence Hotline with Family and Friends of Victims/Survivors – Formative Data Collection

360

159

OFA Training and Technical Assistance (TTA)

136

136

Communications Focus Groups for Remaking the Safety Net

6,032

2074

Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (October 2020)

32

33

Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

240

147

Office of Early Childhood Development Radical Family Engagement National Stakeholder Meeting

110

55

Supporting Partnerships to Advance Research and Knowledge (Project SPARK)

310

364

Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template

113

678

Totals:

9,026

9,110


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJones, Molly (ACF)
File Modified0000-00-00
File Created2021-05-31

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