Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits

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	Available
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	Available
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	Available
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	Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New	Repair queued
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	New	Available
Form 5 Program Staff Focus Group Protocol (Installation & Refinement Phases)	Form and Instruction	New	Missing upstream
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	New	Available
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	Available
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	Available
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	Available
Form 1 Program Eligibility Protocol	Form and Instruction	New	Missing upstream
Appendix D Active Engagement Consent Statements.docx	Supplementary Document	Uploaded 2024-04-26	Repair queued
Appendix C Active Engagement Contact Scripts.docx	Supplementary Document	Uploaded 2024-04-26	Repair queued
Appendix B Active Engagement Recruitment.docx	Supplementary Document	Uploaded 2024-04-26	Repair queued
Appendix A - Active Engagement 60-day FRN.pdf	Supplementary Document	Uploaded 2024-04-26	Repair queued
Supporting Statement B_ADAPT HV Active Engagement.docx	Supporting Statement B	Uploaded 2024-04-26	Repair queued
Supporting Statement A_ADAPT HV Active Engagement_revised 4.19.24.docx	Supporting Statement A	Uploaded 2024-04-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
267295	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New	Focus Group Participant Characteristics Form – All Phases
267295	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	New
267294	Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	New	Program Staff Focus Group Protocol (Summary Phase)
267294	Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	New
267293	Family Post-Visit Form – Refinement Phase	Form and Instruction	New	Family Post-Visit Form – Refinement Phase
267293	Family Post-Visit Form – Refinement Phase	Form and Instruction	New
267290	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New	Home Visitor Learning Cycle Form – Installation & Refinement Phases
267290	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	New
267288	Program Staff Focus Group Protocol (Installation & Refinement Phases)	Form and Instruction	New	Program Staff Focus Group Protocol – Installation & Refinement Phases
267288	Program Staff Focus Group Protocol (Installation & Refinement Phases)	Form and Instruction	New
267286	Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	New	Family Focus Group Protocol (Co-definition & Summary Phases)
267286	Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	New
267285	Program Staff Focus Group Protocol 2 (Co-definition Phase)	Form and Instruction	New	Program Staff Focus Group Protocol 2 (Co-definition Phase)
267285	Program Staff Focus Group Protocol 2 (Co-definition Phase)	Form and Instruction	New
267284	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New	Program Staff Focus Group Protocol 1 (Co-definition Phase)
267284	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	New
267283	Program Eligibility Protocol	Form and Instruction	New	Program Eligibility Protocol
267283	Program Eligibility Protocol	Form and Instruction	New

ICR Details

OMB Control No: 0906-0092	ICR Reference No: 202404-0906-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits
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: 04/29/2024
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	976	0	0
Time Burden (Hours)	326	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is part of the Assessing and Describing Practice Transitions Among Evidence-Based Home Visiting Programs in Response to the COVID-19 Public Health Emergency Study, which aims to identify and study practices implemented in response to the COVID-19 public health emergency that support evidence-based practice and have the potential to enhance home visiting programming. One of the practices the study identified is strategies home visitors use to engage children and promote their active engagement during virtual visits. The purpose of this information collection is to better understand, through rapid cycle learning, how MIECHV-funded home visiting programs can implement virtual strategies improve child engagement and how home visitors can apply these strategies during in-person service delivery. Information will be collected in four phases designed to (1) identify virtual child engagement strategies (co-definition phase); (2) pilot test and identify refinements to improve the implementation of strategies (installation phase); (3) iteratively test the strategies with refinements to their implementation (refinement phase); and (4) assess the potential of these child engagement strategies to improve service delivery and promote family engagement and family satisfaction with home visiting programs in both virtual and in-person settings (summary phase). Data collection activities include focus groups, online questionnaires, and review of documents and administrative data.

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Authorizing Statute(s): PL: Pub.L. 117 - 328 6101 Name of Law: Consolidated Appropriations Act, 2023
   US Code: 42 USC 711(h)(3)(A) Name of Law: Maternal, infant, and early childhood home visiting programs
   US Code: 42 USC 711(c) Name of Law: Maternal, infant, and early childhood home visiting programs
  

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 84342	12/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 23023	04/03/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Family Focus Group Protocol – Co-definition & Summary Phases	4	Family Focus Group Protocol (Co-definition & Summary Phases)
Family Post-Visit Form – Refinement Phase	7	Family Post-Visit Form – Refinement Phase
Focus Group Participant Characteristics Form – All Phases	9	Focus Group Participant Characteristics Form – All Phases
Home Visitor Learning Cycle Form – Installation & Refinement Phases	6	Home Visitor Learning Cycle Form – Installation & Refinement Phases
Program Eligibility Protocol	1	Program Eligibility Protocol
Program Staff Focus Group Protocol (Installation & Refinement Phases)	5	Program Staff Focus Group Protocol – Installation & Refinement Phases
Program Staff Focus Group Protocol (Summary Phase)	8	Program Staff Focus Group Protocol (Summary Phase)
Program Staff Focus Group Protocol 1 (Co-definition Phase)	2	Program Staff Focus Group Protocol 1 (Co-definition Phase)
Program Staff Focus Group Protocol 2 (Co-definition Phase)	3	Program Staff Focus Group Protocol 2 (Co-definition Phase)

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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	976	0	0	976	0	0
Annual Time Burden (Hours)	326	0	0	326	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: $243,895

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: 04/29/2024

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