Information Collection Request

Assessing the Use of Informal Contacts to Promote Caregivers’ Engagement and Satisfaction with Early Childhood Home Visiting Through Rapid Cycle Learning

ICR 202404-0906-007 · OMB 0906-0098 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0098 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 9 Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New	Repair queued
Form 8 Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	New	Repair queued
Form 7 Family Post-Visit Form – Refinement Phase	Form and Instruction	New	Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New	Missing upstream
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	New	Repair queued
Form 4 Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	New	Repair queued
Form 3 Program Staff Focus Group Protocol 2 – Co-definition Phase	Form and Instruction	New	Repair queued
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New	Missing upstream
Form 1 Program Eligibility Protocol	Form and Instruction	New	Repair queued
Supporting Statement B- MCHB- ADAPT HV Informal Contacts- New-4.18.24.docx	Supporting Statement B	Uploaded 2024-04-22	Repair queued
Supporting Statement A- MCHB- ADAPT HV Informal Contacts- 4.22.24.docx	Supporting Statement A	Uploaded 2024-04-22	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
267132	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New
267131	Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	New
267130	Family Post-Visit Form – Refinement Phase	Form and Instruction	New
267129	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New
267128	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	New
267127	Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	New
267126	Program Staff Focus Group Protocol 2 – Co-definition Phase	Form and Instruction	New
267124	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New
267123	Program Eligibility Protocol	Form and Instruction	New

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0098
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