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 202407-0906-008 · OMB 0906-0098 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 9 Focus Group Participant Characteristics Form Form and Instruction Modified Repair queued
Form 8 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Modified Missing upstream
Form 7 Family Post-Visit Form – Refinement Phase Form and Instruction Modified Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Modified Repair queued
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Modified Missing upstream
Form 4 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction Modified Repair queued
Form 3 Program Staff Focus Group Protocol 2 – Co-definition Phase 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_0906-0098.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-30 Repair queued
0906 0098_OMB NonSubstantive Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-25 Repair queued
Appendix D_Informal Contacts Consent Statements.docx Supplementary Document Uploaded 2024-07-25 Missing upstream
Appendix C_Informal Contacts Contact Scripts.docx Supplementary Document Uploaded 2024-07-25 Repair queued
Appendix B_Informal Contacts Recruitment and Outreach.docx Supplementary Document Uploaded 2024-07-25 Repair queued
Supporting Statement B- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx Supporting Statement B Uploaded 2024-07-23 Repair queued
Supporting Statement A- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx Supporting Statement A Uploaded 2024-07-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269570 Focus Group Participant Characteristics Form Form and Instruction Modified
267131 Program Staff Focus Group Protocol – Summary Phase Form and Instruction Modified
267130 Family Post-Visit Form – Refinement Phase Form and Instruction Modified
267129 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Modified
267128 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Modified
267127 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction Modified
267126 Program Staff Focus Group Protocol 2 – Co-definition Phase Form and Instruction Modified
267124 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Modified
267123 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
416 416
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, 4 Family Focus Group Protocol- Co-Definition and Summary Phases ,   0906-0098 4_Family Focus Group Protocol-Codefinition Summary (Redline)
Family Post-Visit Form – Refinement Phase 7, 7 Family Post-Visit Form – Refinement Phase ,   0906-0098 7_Family Post Visit Form-Refinement (Redline 07302024)
Focus Group Participant Characteristics Form 9, 9 Focus Group Participant Characteristics Form ,   0906-0098 9_Focus Group Participant Characteristics Form-All Phases (Redline 07302024)
Home Visitor Learning Cycle Form – Installation & Refinement Phases 6, 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases ,   0906-0098 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
Program Eligibility Protocol 1, 1 Program Eligibility Protocol ,   0906-0098 1_Program Eligibility Protocol (Redline)
Program Staff Focus Group Protocol 1 (Co-definition Phase) 2, 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) ,   0906-0098 2_Program Staff Focus Group 1-Codefinition (Redline)
Program Staff Focus Group Protocol 2 – Co-definition Phase 3, 3 Program Staff Focus Group Protocol 2- Co-definition Phase ,   0906-0098 3_Program Staff Focus Group Protocol 2-Codefinition (Redline)
Program Staff Focus Group Protocol – Installation & Refinement Phases 5, 5 Program Staff Installation and Refinement ,   0906-0098 5_Program Staff Focus Group Protocol-Installation Refinement (Redline)
Program Staff Focus Group Protocol – Summary Phase 8, 8 Program Staff Focus Group Protocol – Summary Phase ,   0906-0098 8_Program Staff Focus Group Protocol-Summary (Redline)

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


Reginfo record details
  No