OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Supporting and Strengthening the Home Visiting Workforce (SAS-HV)

IC 255172 under ICR 202403-0970-004 · OMB 0970-0355.

Documents and Forms
Document Name
Document Type
Other-Screening questionnaire
Other-Screening questionnaire
Other-Web-based survey
Other-Web-based survey
Other-Group interpretation meeting
Other-Group interpretation meeting
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Supporting and Strengthening the Home Visiting Workforce (SAS-HV) OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screening questionnaire Instrument 1_Screening questionnaire_Revision 3_7-25-22. clean.docx Yes Yes Fillable Fileable
Other-Web-based survey Instrument 2_ Web based survey_Revision 3, 7-25-22. clean.docx Yes Yes Fillable Fileable
Other-Group interpretation meeting Instrument 3_Group Interpretation Meeting Guide 7-20-22_Revision 3, 7-25-22. clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

60 0
   
Individuals or Households
 
   100 %

  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 162 0 0 0 0 162
Annual IC Time Burden (Hours) 105 0 0 0 0 105
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - SAS-HV Pretesting GenIC SAS-HV_Pretesting Generic_0970-0355_SSA GenIC- OPRE Pilot Template_Revision 3 7-25-22_clean.docx 08/04/2022
SSB - SAS-HV Pretesting GenIC SAS-HV Pretesting Generic_0970-0355_SSB GenIC- OPRE Pilot Template_Revision 3 7-25-22_clean.docx 08/04/2022
Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement Appendix 1_Home Visiting Applied Research Collaborative Recruitment Announcement_final 8.4.22.docx 08/04/2022
Appendix 2: Recruitment Email for Researchers Appendix 2_Recruitment Email for Researchers_final 8.4.22.docx 08/04/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.