Head Start Evaluation of a Trauma-Informed Care Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix C Teacher Consent 111221.docx	Supplementary Document	Uploaded 2021-12-14	Repair queued
Appendix B Coach Consent 111221.docx	Supplementary Document	Uploaded 2021-12-14	Repair queued
Appendix A Director Consent 111221.docx	Supplementary Document	Uploaded 2021-12-14	Repair queued
Supporting Statement B_OHS TIC Prog Eval_111221_rev.docx	Supporting Statement B	Uploaded 2021-12-14	Repair queued
Supporting Statement A_OHS TIC Prog Eval_111221.docx	Supporting Statement A	Uploaded 2021-12-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250792	Teacher Focus Group	Other-Focus Group Guide	New
250791	Teacher Satisfaction Survey	Other-Survey	New
250790	Ecological Momentary Assessment (EMA) Survey (teachers only)	Other-Survey	New
250789	Professional Self-Care Scale (PSCS) (teachers only)	Other-Self-Care Scale (PSCS)	New
250788	Coach Interview	Other-Interview Guide	New
250787	Coach Satisfaction Survey	Other-Survey	New
250786	Coaching Logs	Other-Logs	New
250785	Coach/Teacher Background Form	Other-Background Form	New
250784	Site Administrator Interview	Other-Interview	New
250783	Site Application Form (site administrators)	Other-Application	New
250782	Attitudes Related to Trauma-Informed Care (ARTIC) Questionnaire (all site staff)	Other-Questionnaire	New
250781	Trauma-Informed System Change Instrument (TISCI) Questionnaire (all site staff)	Other-Questionnaire	New

ICR Details

OMB Control No:	ICR Reference No: 202112-0970-007
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OHS
Title: Head Start Evaluation of a Trauma-Informed Care Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/14/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	3,805	0
Time Burden (Hours)	433	0
Cost Burden (Dollars)	0	0

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Abstract: The Office of Head Start (OHS) is proposing to collect data for a new evaluation of a trauma-informed care program. The Head Start Evaluation of a Trauma-Informed Care Program is necessary to determine the intensity of professional development supports needed to enable teachers to effectively implement trauma-informed care in early care and education programs, and to evaluate the relative benefit of more intensive supports. Literature has identified practice-based coaching as a critical aspect of technical assistance for enhancing practices of early childhood educators, and this approach has been recommended by OHS (Practice-Based Coaching (PBC) | ECLKC (hhs.gov). However, there is enormous variability in the intensity and duration of coaching and little is known about how much is needed and what specific approaches may be most useful . The evaluation will include a small randomized controlled trial across 10 sites within Head Start Region V. The information collected will be used to inform ongoing training and technical assistance (TTA) work provided by the National Centers funded by OHS.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 648 Name of Law: Head Start Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 44375	08/12/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 64221	11/17/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Attitudes Related to Trauma-Informed Care (ARTIC) Questionnaire (all site staff)
Coach Interview
Coach Satisfaction Survey
Coach/Teacher Background Form
Coaching Logs
Ecological Momentary Assessment (EMA) Survey (teachers only)
Professional Self-Care Scale (PSCS) (teachers only)
Site Administrator Interview
Site Application Form (site administrators)
Teacher Focus Group
Teacher Satisfaction Survey
Trauma-Informed System Change Instrument (TISCI) Questionnaire (all site staff)

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ICR Summary of Burden

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	3,805	0	0	3,805	0	0
Annual Time Burden (Hours)	433	0	0	433	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $150,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/14/2021

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