Information Collection Request

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

ICR 202407-0906-001 · OMB 0906-0095 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 9 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Unchanged Available
Form 9 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Unchanged Repair queued
Form 8 Family Post-Visit Form Refinement Phase Form and Instruction Unchanged Available
Form 8 Family Post-Visit Form Refinement Phase Form and Instruction Unchanged Repair queued
Form 7 Focus Group Participant Characteristics Form – All Phases Form and Instruction Modified Available
Form 7 Focus Group Participant Characteristics Form – All Phases Form and Instruction Modified Missing upstream
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged Repair queued
Form 5 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Unchanged Available
Form 5 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Unchanged Repair queued
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases) Form and Instruction Unchanged Available
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases) Form and Instruction Unchanged Repair queued
Form 3 Program Staff Focus Group Protocol 2 Form and Instruction Unchanged Available
Form 3 Program Staff Focus Group Protocol 2 Form and Instruction Unchanged Missing upstream
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged Available
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged Missing upstream
Form 1 Program Eligibility Protocol Form and Instruction Unchanged Available
Form 1 Program Eligibility Protocol Form and Instruction Unchanged Repair queued
Coaching ADAPT HV_Change memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-10 Available
Coaching ADAPT HV_Change memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-10 Repair queued
Appendix N - Public Comment.pdf Supplementary Document Uploaded 2024-05-07 Available
Appendix N - Public Comment.pdf Supplementary Document Uploaded 2024-05-07 Repair queued
Supporting Statement A -Assessing the Use of Coaching-MCHB - 6.5.24 .docx Supporting Statement A Uploaded 2024-07-09 Available
Supporting Statement A -Assessing the Use of Coaching-MCHB - 6.5.24 .docx Supporting Statement A Uploaded 2024-07-09 Repair queued
Supporting Statement B- MCHB-ADAPT HV Coaching-New- 4.25.24.docx Supporting Statement B Uploaded 2024-04-25 Available
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 Available
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 Available
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 Available
Appendix B - Coaching Recruitment and Outreach.docx Supplementary Document Uploaded 2024-04-17 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2027 07/31/2027 07/31/2027
976 0 976
326 0 326
0 0 0





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 976 976 0 0 0 0
Annual Time Burden (Hours) 326 326 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No