Home Visiting Assessment of Implementation Quality Study: Exploring Family Voice and Leadership in Home Visiting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5 Family Focus Group Recruitment Survey	Form and Instruction	New	Available
Form 5 Appendix H_FVL Instrument 5 Family Focus Group Recruitment Survey	Form and Instruction	New	Repair queued
Form 4 LIA Program Staff Focus Group Protocol	Form and Instruction	New	Available
Form 4 Appendix G_FVL Instrument 4 LIA Program Staff Focus Group Protocol	Form and Instruction	New	Repair queued
Form 3 MIECHV Lead Interview Guide	Form and Instruction	New	Available
Form 3 Appendix F_FVL Instrument 3 MIECHV Lead Interview Guide	Form and Instruction	New	Repair queued
Form 2 Family Focus Group Protocol	Form and Instruction	New	Available
Form 2 Appendix E_FVL Instrument 2 Family Focus Group Protocol	Form and Instruction	New	Repair queued
Form 1 MIECHV Program FVL Online Survey	Form and Instruction	New	Available
Form 1 Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey	Form and Instruction	New	Repair queued
Appendix C_FVL_ IRB Decision Letter.pdf	Supplementary Document	Uploaded 2024-04-18	Available
Appendix A_FVL 60-day FRN.pdf	Supplementary Document	Uploaded 2024-04-18	Repair queued
Supporting Statement B_HV-AIM Family Voice and Leadership_Final 041824.docx	Supporting Statement B	Uploaded 2024-04-18	Repair queued
Supporting Statement A_HV-AIM Family Voice and Leadership_Final 041824.docx	Supporting Statement A	Uploaded 2024-04-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
267074	Appendix H_FVL Instrument 5 Family Focus Group Recruitment Survey	Form and Instruction	New	Family Focus Group Recruitment Survey
267074	Appendix H_FVL Instrument 5 Family Focus Group Recruitment Survey	Form and Instruction	New
267073	Appendix G_FVL Instrument 4 LIA Program Staff Focus Group Protocol	Form and Instruction	New	LIA Program Staff Focus Group Protocol
267073	Appendix G_FVL Instrument 4 LIA Program Staff Focus Group Protocol	Form and Instruction	New
267071	Appendix F_FVL Instrument 3 MIECHV Lead Interview Guide	Form and Instruction	New	MIECHV Lead Interview Guide
267071	Appendix F_FVL Instrument 3 MIECHV Lead Interview Guide	Form and Instruction	New
267070	Appendix E_FVL Instrument 2 Family Focus Group Protocol	Form and Instruction	New	Family Focus Group Protocol
267070	Appendix E_FVL Instrument 2 Family Focus Group Protocol	Form and Instruction	New
267069	Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey	Form and Instruction	New	MIECHV Program FVL Online Survey
267069	Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey	Form and Instruction	New

ICR Details

OMB Control No: 0906-0093	ICR Reference No: 202404-0906-006
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Home Visiting Assessment of Implementation Quality Study: Exploring Family Voice and Leadership in Home Visiting
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/10/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/19/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	36 Months From Approved
Responses	1,208	0	0
Time Burden (Hours)	500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Family Voice and Leadership study aims to explore the extent to which and how family voice and leadership (FVL)—which involves including families in decisions related to program implementation—is currently happening in the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. This will be done through 1) a brief survey of MIECHV awardees and local program staff on FVL practices and strategies, with follow up interview and focus groups with select staff; and 2) a focus group with families who have participated in FVL strategies. Results will inform strategies for MIECHV-funded home visiting programs to effectively engage families in program decisions.

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Authorizing Statute(s): US Code: 42 USC 711(h)(3)(A) Name of Law: Social Security Act, MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS
   US Code: 42 USC 711(c)
   PL: Pub.L. 117 - 328 6101 Name of Law: Consolidated Appropriations Act, 2023
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 84339	12/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 23025	04/03/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey	1	MIECHV Program FVL Online Survey
Appendix E_FVL Instrument 2 Family Focus Group Protocol	2	Family Focus Group Protocol
Appendix F_FVL Instrument 3 MIECHV Lead Interview Guide	3	MIECHV Lead Interview Guide
Appendix G_FVL Instrument 4 LIA Program Staff Focus Group Protocol	4	LIA Program Staff Focus Group Protocol
Appendix H_FVL Instrument 5 Family Focus Group Recruitment Survey	5	Family Focus Group Recruitment Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,208	0	0	1,208	0	0
Annual Time Burden (Hours)	500	0	0	500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $453,345

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/19/2024

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