Information Collection Request

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

ICR 202202-0970-006 · OMB 0970-0527 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix L_Sustainability Survey FAQ_CLEAN.docx Supplementary Document Uploaded 2022-02-17 Repair queued
Appendix K_Sustainability Survey Outreach Emails_CLEAN.docx Supplementary Document Uploaded 2022-02-17 Repair queued
Supporting Statement A - RPG CSE_CLEAN_fnl.docx Supporting Statement A Uploaded 2022-02-17 Available
Appendix J_Partner Survey FAQ_CLEAN.docx Supplementary Document Uploaded 2022-02-17 Repair queued
Appendix I_Partner Survey Outreach Emails_CLEAN.docx Supplementary Document Uploaded 2022-02-17 Repair queued
Appendix A_Copy of authorizing legislation.pdf Supplementary Document Uploaded 2019-01-09 Repair queued
Supporting Statement B - RPG CSE_CLEAN.docx Supporting Statement B Uploaded 2022-02-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251666 Site visit and key informant data collection: Sustainability survey (Appendix D) Other-Survey New
234670 Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F) Other-Data Elements Removed
234669 Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (16 grantees) (Appendix G) Other-Data Elements Modified
234668 Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix G) Other-Data Elements Modified
234667 Outcomes and impacts data - Standardized instruments: Enter data into local database (Appendix G) Other-Data Elements Modified
234666 Outcomes and impacts data - Administrative data: Report administrative data (Appendix H) Other-Admin Data Modified
234665 Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix H) Other-Admin Data Modified
234663 Enrollment and services data: Service log entries (Appendix F) Other-Data Elements Modified
234662 Enrollment and services data: Case closure – prenatal (Appendix F) Other-Data Elements Modified
234661 Enrollment and services data: Case closure (Appendix F) Other-Data Elements Modified
234656 Enrollment and services data: Case enrollment data (Appendix F) Other-Data Elements Modified
234655 Enrollment and services data: Semiannual progress reports (Appendix E) Other-Progress Report Modified
234654 Site visit and key informant data collection: Partner survey (Appendix C) Other-Survey Modified
234653 Site visit and key informant data collection: PD/PM phone interview (Appendix B) Other-Interview Removed
234652 Site visit and key informant data collection: Partner representative interviews (Appendix B) Other-Interview Modified
234651 Site visit and key informant data collection: Frontline staff interviews (Appendix B) Other-Interview Modified
234650 Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B) Other-Interview Modified
234648 Site visit and key informant data collection: Program director individual interview (Appendix B) Other-Interview Guide Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2022
175,836 501,548
15,625 40,613
0 0





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (16 grantees) (Appendix G)
Enrollment and services data: Case closure (Appendix F)
Enrollment and services data: Case closure – prenatal (Appendix F)
Enrollment and services data: Case enrollment data (Appendix F)
Enrollment and services data: Semiannual progress reports (Appendix E)
Enrollment and services data: Service log entries (Appendix F)
Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix H)
Outcomes and impacts data - Administrative data: Report administrative data (Appendix H)
Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)
Outcomes and impacts data - Standardized instruments: Enter data into local database (Appendix G)
Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix G)
Site visit and key informant data collection: Frontline staff interviews (Appendix B)
Site visit and key informant data collection: PD/PM phone interview (Appendix B)
Site visit and key informant data collection: Partner representative interviews (Appendix B)
Site visit and key informant data collection: Partner survey (Appendix C)
Site visit and key informant data collection: Program director individual interview (Appendix B)
Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B)
Site visit and key informant data collection: Sustainability survey (Appendix D)

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 175,836 501,548 0 -325,712 0 0
Annual Time Burden (Hours) 15,625 40,613 0 -24,988 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No