Information Collection

Supporting and Strengthening the Home Visiting Workforce (SAS-HV) : Online Pretest of Draft Reflective Supervision Measure

IC 260504 under ICR 202403-0970-019 · OMB 0970-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

2026-01-30 - No material or nonsubstantive change to a currently approved collection
2025-03-28 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx	Other-Questionnaire
Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx	Other-Questionnaire
Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx	Other-Pretesting
Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx	Other-Pretesting
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	IC Document
SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	IC Document
SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	IC Document
Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting	IC Document
Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting	IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2	IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Supporting and Strengthening the Home Visiting Workforce (SAS-HV) : Online Pretest of Draft Reflective Supervision Measure

Agency IC Tracking Number:

OPRE

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx		Yes	Yes	Fillable Fileable
Other-Pretesting			Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	163	163
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx	06/02/2023
SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure	SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx	06/02/2023
Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting	Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx	06/02/2023
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2	SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx	06/12/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.