Information Collection Request

Assessing the Use of Coaching to Promote Positive Caregiver-Child Interactions in Early Childhood Home Visiting Through Rapid Cycle Learning

ICR 202404-0906-004 · OMB 0906-0095 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0095 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 9 Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	New	Repair queued
Form 8 Family Post-Visit Form Refinement Phase	Form and Instruction	New	Repair queued
Form 7 Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New	Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New	Repair queued
Form 5 Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	New	Repair queued
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	New	Missing upstream
Form 3 Program Staff Focus Group Protocol 2	Form and Instruction	New	Repair queued
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New	Repair queued
Form 1 Program Eligibility Protocol	Form and Instruction	New	Repair queued
Appendix N - Public Comment.pdf	Supplementary Document	Uploaded 2024-05-07	Missing upstream
Supporting Statement A_Coaching_5.7.24.docx	Supporting Statement A	Uploaded 2024-05-07	Repair queued
Supporting Statement B- MCHB-ADAPT HV Coaching-New- 4.25.24.docx	Supporting Statement B	Uploaded 2024-04-25	Repair queued
Appendix D - Coaching Consent Statements.docx	Supplementary Document	Uploaded 2024-04-17	Repair queued
Appendix C - Coaching Contact Scripts.docx	Supplementary Document	Uploaded 2024-04-17	Repair queued
Appendix B - Coaching Recruitment and Outreach.docx	Supplementary Document	Uploaded 2024-04-17	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
267241	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	New
267004	Family Post-Visit Form Refinement Phase	Form and Instruction	New
267003	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New
267002	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New
267001	Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	New
266995	Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	New
266992	Program Staff Focus Group Protocol 2	Form and Instruction	New
266991	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New
266990	Program Eligibility Protocol	Form and Instruction	New

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0095
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31