Home Visiting Assessment of Implementation Quality Study: Understanding Supervisor Supports in Home Visiting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4 Home Visitor Focus Group Protocol	Form and Instruction	New	Available
Form 4 Home Visitor Focus Group Protocol	Form and Instruction	New	Repair queued
Form 3 Supervisor Focus Group	Form and Instruction	New	Available
Form 3 Supervisor Focus Group Protocol	Form and Instruction	New	Repair queued
Form 2 LIA Program Director Interview Guide	Form and Instruction	New	Available
Form 2 Home Visiting Program Leader Interview Guide	Form and Instruction	New	Available
Form 2 Home Visiting Program Leader Interview Guide	Form and Instruction	New	Repair queued
Form 1 Recruitment Survey	Form and Instruction	New	Available
Form 1 Recruitment Survey	Form and Instruction	New	Repair queued
Supporting Statement B- MCHB-HV-AIM Supervisior Support- New- 5.28.24.docx	Supporting Statement B	Uploaded 2024-05-28	Repair queued
Supporting Statement A-MCHB-HV-AIM Supervision-New- 5.28.24.docx	Supporting Statement A	Uploaded 2024-05-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
267995	Home Visitor Focus Group Protocol	Form and Instruction	New	Home Visitor Focus Group Protocol
267995	Home Visitor Focus Group Protocol	Form and Instruction	New
267994	Supervisor Focus Group Protocol	Form and Instruction	New	Supervisor Focus Group
267994	Supervisor Focus Group Protocol	Form and Instruction	New
267993	Home Visiting Program Leader Interview Guide	Form and Instruction	New	LIA Program Director Interview Guide
267993	Home Visiting Program Leader Interview Guide	Form and Instruction	New	Home Visiting Program Leader Interview Guide
267993	Home Visiting Program Leader Interview Guide	Form and Instruction	New
267992	Recruitment Survey	Form and Instruction	New	Recruitment Survey
267992	Recruitment Survey	Form and Instruction	New

ICR Details

OMB Control No: 0906-0100	ICR Reference No: 202405-0906-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Home Visiting Assessment of Implementation Quality Study: Understanding Supervisor Supports 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: 08/01/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	36 Months From Approved
Responses	400	0	0
Time Burden (Hours)	243	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Through the Home Visiting Assessment of Implementation Quality study, HRSA aims to examine specific components of the Home Visiting Implementation Quality Conceptual Framework to inform strategies for implementing high quality home visiting programs. One of the three quality components the study will focus on is support for supervisors of home visitors. A qualified, stable, and supported home visitor workforce is an important quality component of home visiting, and supervision is a key part of supporting that workforce. The requested information collection will explore how training for supervisors may be linked to home visitor job satisfaction. It will also examine how supervisor training in important content areas (e.g., substance use, intimate partner violence) may affect the extent to which home visitors talk to families about these topics. Data collection will include an online recruitment survey, interviews, and focus groups.

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Authorizing Statute(s): None

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:
	89 FR 7400	02/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 45904	05/24/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Home Visiting Program Leader Interview Guide	2, 2	Home Visiting Program Leader Interview Guide ,   LIA Program Director Interview Guide
Home Visitor Focus Group Protocol	4	Home Visitor Focus Group Protocol
Recruitment Survey	1	Recruitment Survey
Supervisor Focus Group Protocol	3	Supervisor Focus Group

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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	400	0	0	400	0	0
Annual Time Burden (Hours)	243	0	0	243	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: Change due to Program Adjustments

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Annual Cost to Federal Government: $223,523

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.     No

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: 05/28/2024

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