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 202407-0906-004 · OMB 0906-0098 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 9 Focus Group Participant Characteristics Form Form and Instruction Unchanged Available
Form 8 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Unchanged Available
Form 7 Family Post-Visit Form – Refinement Phase Form and Instruction Unchanged Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged Available
Form 5 Program Staff Installation and Refinement Form and Instruction Unchanged Available
Form 4 Family Focus Group Protocol- Co-Definition and Summary Phases Form and Instruction Unchanged Available
Form 3 Program Staff Focus Group Protocol 2- Co-definition Phase Form and Instruction Unchanged Available
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged Available
Form 1 Program Eligibility Protocol Form and Instruction Unchanged Available
0906 0098_OMB NonSubstantive Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-25 Available
Appendix D_Informal Contacts Consent Statements.docx Supplementary Document Uploaded 2024-07-25 Available
Appendix C_Informal Contacts Contact Scripts.docx Supplementary Document Uploaded 2024-07-25 Available
Appendix B_Informal Contacts Recruitment and Outreach.docx Supplementary Document Uploaded 2024-07-25 Available
Supporting Statement B- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx Supporting Statement B Uploaded 2024-07-23 Available
Supporting Statement A- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx Supporting Statement A Uploaded 2024-07-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269570 Focus Group Participant Characteristics Form Form and Instruction UnchangedFocus Group Participant Characteristics Form
267131 Program Staff Focus Group Protocol – Summary Phase Form and Instruction UnchangedProgram Staff Focus Group Protocol – Summary Phase
267130 Family Post-Visit Form – Refinement Phase Form and Instruction UnchangedFamily Post-Visit Form – Refinement Phase
267129 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction UnchangedHome Visitor Learning Cycle Form – Installation & Refinement Phases
267128 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction UnchangedProgram Staff Installation and Refinement
267127 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction UnchangedFamily Focus Group Protocol- Co-Definition and Summary Phases
267126 Program Staff Focus Group Protocol 2 – Co-definition Phase Form and Instruction UnchangedProgram Staff Focus Group Protocol 2- Co-definition Phase
267124 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction UnchangedProgram Staff Focus Group Protocol 1 (Co-definition Phase)
267123 Program Eligibility Protocol Form and Instruction UnchangedProgram Eligibility Protocol

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
416 0 416
0 0 0





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

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) 416 416 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No