Information Collection Request

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

ICR 202407-0906-007 · OMB 0906-0095 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Modified Repair queued
Form 8 Family Post-Visit Form Refinement Phase Form and Instruction Modified Repair queued
Form 9 Focus Group Participant Characteristics Form – All Phases Form and Instruction Modified Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Modified Missing upstream
Form 8 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Modified Repair queued
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases) Form and Instruction Modified Repair queued
Form 3 Program Staff Focus Group Protocol 2 Form and Instruction Modified Repair queued
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Modified Repair queued
Form 1 Program Eligibility Protocol Form and Instruction Modified Repair queued
OMB NonSubstantive Change Request_0906-0095.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-30 Repair queued
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 Repair queued
Supporting Statement A -Assessing the Use of Coaching-MCHB - 6.5.24 .docx Supporting Statement A Uploaded 2024-07-09 Missing upstream
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 Missing upstream
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 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2027 07/31/2027
976 976
326 326
0 0





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9
table that charts list of burden
IC Title Form No. Form Name
Family Focus Group Protocol (Co-definition & Summary Phases) 4, 4 Family Focus Group Protocol ,   0906-0095 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024)
Family Post-Visit Form Refinement Phase 8, 7 Family Post Visit Questionaire ,   0906-0095 7_Family Post Visit Form-Refinement (Redline)
Focus Group Participant Characteristics Form – All Phases 9, 9, 9 Focus Group Participant Characteristics- All Phases Coaching Instrument ,   Instrument 9- MCHB- Assessing the Use of Coaching - 6.5.24-Tracked ,   Instrument 9- MCHB- Assessing the Use of Coaching -6.5.24
Home Visitor Learning Cycle Form – Installation & Refinement Phases 6, 6 Home Visitor Questionaire ,   0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
Program Eligibility Protocol 1, 1 Program Eligibility Protocol ,   0906-0092 1_Program Eligiblity Protocol (Redline 07302024)
Program Staff Focus Group Protocol 1 (Co-definition Phase) 2, 2 PSFGP Codefinition Focus Group ,   0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024)
Program Staff Focus Group Protocol 2 3, 3 PSFGP Codefinition Phase 1 Group 2 ,   0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)
Program Staff Focus Group Protocol – Installation & Refinement Phases 5, 5 Staff Focus Group Installation and Refinement ,   0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024)
Program Staff Focus Group Protocol – Summary Phase 8, 8 Focus Group Protocol Summary Phase ,   0906-0095 8_Program Staff Focus Group Protocol-Summary (Redline 07302024)

table that charts list of burden
  Total Request 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


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  No