Multi-Site Study of State-Tribal Collaboration in Home Visiting

Formative Data Collections for ACF Program Support

OMB: 0970-0531

IC ID: 254587

Documents and Forms
Document Name
Document Type
Other-Interview Protocol
Other-Interview Protocol
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Multi-Site Study of State-Tribal Collaboration in Home Visiting OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Protocol Instrument A - MUSE-STC Interview Protocol_OMB_clean_fnl.docx Yes Yes Printable Only

Community and Social Services Social Services

 

42 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 42 0 0 0 0 42
Annual IC Time Burden (Hours) 63 0 0 0 0 63
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Prog Supp GenIC - Multi-Site Study of State-Tribal Collaboration in Home Visiting Generics Supporting Statement A - MUSE-STC_OMB_clean_OMB_ACF_clean.docx 07/11/2022
SSB Prog Supp GenIC - Multi-Site Study of State-Tribal Collaboration in Home Visiting Generics Supporting Statement B - MUSE-STC_OMB_clean.docx 07/11/2022
APPENDIX A: Draft Recruitment Email and Call Script Appendix A - MUSE-STC Draft Interview Recruitment Email and Phone Script_OMB.docx 07/11/2022
APPENDIX B: Draft Study Notification Email from Health Resources and Services Administration Appendix B -Study Notification Email from Health Resources and Services Administration_OMB_clean.docx 07/11/2022
APPENDIX C: MUSE-STC Site Engagement Email Appendix C - MUSE-STC Site Engagement Email_OMB.docx 07/11/2022
APPENDIX D: MUSE-STC Research Flyer Appendix D - MUSE-STC research flyer_OMB_clean.docx 07/11/2022
APPENDIX E: MUSE-STC Consent Form Appendix E - MUSE-STC Consent Form_OMB_clean.docx 07/11/2022
NOA_MUSE Formative GenIC Prog Supp NOA_MUSE Formative GenIC Prog Supp_0970-0531_6.22.22.pdf 07/11/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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