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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5 0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024)	Form and Instruction	Modified	Available
Form 5 Staff Focus Group Installation and Refinement	Form and Instruction	Modified	Available
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Modified	Repair queued
Form 7 0906-0095 7_Family Post Visit Form-Refinement (Redline)	Form and Instruction	Modified	Available
Form 8 Family Post Visit Questionaire	Form and Instruction	Modified	Repair queued
Form 8 Family Post-Visit Form Refinement Phase	Form and Instruction	Modified	Repair queued
Form 9 Instrument 9- MCHB- Assessing the Use of Coaching -6.5.24	Form and Instruction	Modified	Available
Form 9 Instrument 9- MCHB- Assessing the Use of Coaching - 6.5.24-Tracked	Form and Instruction	Modified	Repair queued
Form 9 Focus Group Participant Characteristics- All Phases Coaching Instrument	Form and Instruction	Modified	Available
Form 9 Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Repair queued
Form 6 0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)	Form and Instruction	Modified	Available
Form 6 Home Visitor Questionaire	Form and Instruction	Modified	Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Modified	Repair queued
Form 8 0906-0095 8_Program Staff Focus Group Protocol-Summary (Redline 07302024)	Form and Instruction	Modified	Available
Form 8 Focus Group Protocol Summary Phase	Form and Instruction	Modified	Repair queued
Form 8 Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	Modified	Repair queued
Form 4 0906-0095 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024)	Form and Instruction	Modified	Available
Form 4 Family Focus Group Protocol	Form and Instruction	Modified	Available
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	Modified	Repair queued
Form 3 0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)	Form and Instruction	Modified	Available
Form 3 PSFGP Codefinition Phase 1 Group 2	Form and Instruction	Modified	Repair queued
Form 3 Program Staff Focus Group Protocol 2	Form and Instruction	Modified	Repair queued
Form 2 0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024)	Form and Instruction	Modified	Available
Form 2 PSFGP Codefinition Focus Group	Form and Instruction	Modified	Available
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Modified	Repair queued
Form 1 0906-0092 1_Program Eligiblity Protocol (Redline 07302024)	Form and Instruction	Modified	Available
Form 1 Program Eligibility Protocol	Form and Instruction	Modified	Available
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	Repair queued
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	Repair queued
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 ID	Collection	Type	Status	Form
267241	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Modified	0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024)
267241	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Modified	Staff Focus Group Installation and Refinement
267241	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Modified
267004	Family Post-Visit Form Refinement Phase	Form and Instruction	Modified	0906-0095 7_Family Post Visit Form-Refinement (Redline)
267004	Family Post-Visit Form Refinement Phase	Form and Instruction	Modified	Family Post Visit Questionaire
267004	Family Post-Visit Form Refinement Phase	Form and Instruction	Modified
267003	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Instrument 9- MCHB- Assessing the Use of Coaching -6.5.24
267003	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Instrument 9- MCHB- Assessing the Use of Coaching - 6.5.24-Tracked
267003	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Focus Group Participant Characteristics- All Phases Coaching Instrument
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	0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
267002	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Modified	Home Visitor Questionaire
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	0906-0095 8_Program Staff Focus Group Protocol-Summary (Redline 07302024)
267001	Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	Modified	Focus Group Protocol Summary Phase
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	0906-0095 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024)
266995	Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	Modified	Family Focus Group Protocol
266995	Family Focus Group Protocol (Co-definition & Summary Phases)	Form and Instruction	Modified
266992	Program Staff Focus Group Protocol 2	Form and Instruction	Modified	0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)
266992	Program Staff Focus Group Protocol 2	Form and Instruction	Modified	PSFGP Codefinition Phase 1 Group 2
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	0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024)
266991	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Modified	PSFGP Codefinition Focus Group
266991	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Modified
266990	Program Eligibility Protocol	Form and Instruction	Modified	0906-0092 1_Program Eligiblity Protocol (Redline 07302024)
266990	Program Eligibility Protocol	Form and Instruction	Modified	Program Eligibility Protocol
266990	Program Eligibility Protocol	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0095	ICR Reference No: 202407-0906-007
Status: Historical Active	Previous ICR Reference No: 202407-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Assessing the Use of Coaching to Promote Positive Caregiver-Child Interactions in Early Childhood Home Visiting Through Rapid Cycle Learning
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/31/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2027	07/31/2027	07/31/2027
Responses	976	0	976
Time Burden (Hours)	326	0	326
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 the use of coaching to promote caregiver-child interactions and positive caregiving skills. Coaching involves a home visitor providing instructions to the parent or caregiver as they carry out the skill and differs from a common home visiting strategy, modeling, in which home visitors first demonstrate a skill themselves before asking the parent or caregiver to try it. The purpose of this information collection is to better understand, through rapid cycle learning, how MIECHV-funded home visiting programs can implement coaching strategies during home visits.

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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:
	88 FR 84342	12/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 23027	04/03/2024
Did the Agency receive public comments on this ICR? Yes

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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, 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)

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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	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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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.     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? Yes

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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: 07/31/2024

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