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Touchpoints for Addressing Substance Use Issues in Home Visiting: Performance Measurement Pilot

IC 247483 under ICR 202403-0970-019 · OMB 0970-0355.

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

View Information Collection (IC)

Touchpoints for Addressing Substance Use Issues in Home Visiting: Performance Measurement Pilot
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Reporting Tool Instrument 1_SUD1 and SUD2 Measures Reporting Tool.xlsx Yes Yes Fillable Fileable
Other-Interview Protocol Instrument 2_Interview Protocol_State Awardees.docx No   Paper Only
Other-Interview Protocol Instrument 3_Interview Protocol_LIA Managers and Data Managers, Home Visiting Supervisors, and Home Visitors.docx No   Paper Only
Other-Interview Protocol Instrument 4_Interview Protocol_Home-Visiting-Model Representatives.docx No   Paper Only

Community and Social Services Social Services

 

56 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 87 0 0 0 0 87
Annual IC Time Burden (Hours) 73 0 0 0 0 73
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A - Touchpoints Pretesting GenIC Generic SSA_Touchpoints_Pretesting.docx 05/18/2021
Supporting Statement B - Touchpoints Pretesting GenIC Generic SSB_Touchpoints_Pretesting.docx 05/18/2021
Appendix A_Pilot Study FAQs Appendix A_Pilot Study FAQs.docx 05/18/2021
Appendix B_Invitations to Participate in the Study Appendix B_Invitations to Participate in the Study.docx 05/18/2021
Appendix C_Research Questions Addressed by Interview Protocols Appendix C_Research Questions Addressed by Interview Protocols.docx 05/18/2021
NOA - Touchpoints Pretesting GenIC NOA - Pretesting_Touchpoints GenIC_3.20.21.pdf 05/18/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.