Information Collection

Supporting and Strengthening the Home Visiting Workforce (SAS-HV): Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting

IC 270328 under ICR 202408-0970-010 · OMB 0970-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

2026-01-30 - No material or nonsubstantive change to a currently approved collection
2025-03-28 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1_Participant and Contextual Characteristics Questionnaire 3-19-24_CLEAN.docx	Other-Questionnaire
Instrument 1_Participant and Contextual Characteristics Questionnaire 3-19-24_CLEAN.docx	Other-Questionnaire
Instrument 2_Focus Group Protocol for Relevance Across Racial and Ethnic Subgroups, 1-10-24, CLEAN.docx	Other-Focus Group Protocol
Instrument 2_Focus Group Protocol for Relevance Across Racial and Ethnic Subgroups, 1-10-24, CLEAN.docx	Other-Focus Group Protocol
Instrument 3_ Reflective Supervision Measure, 3-19-24_CLEAN.docx	Other-Reflective Measure
Instrument 3_ Reflective Supervision Measure, 3-19-24_CLEAN.docx	Other-Reflective Measure
Instrument 4_ Participant Perspectives on Reflective Supervision Measure, 3-19-23 CLEA.docx	Other-Reflective Measure
Instrument 4_ Participant Perspectives on Reflective Supervision Measure, 3-19-23 CLEA.docx	Other-Reflective Measure
Instrument 5_Measures to Examine Convergent and Concurrent Validity, 12-15-23_CLEAN.docx	Other-Validity Measure
Instrument 5_Measures to Examine Convergent and Concurrent Validity, 12-15-23_CLEAN.docx	Other-Validity Measure
Instrument 6_Supervisor Questionnaire for Repeated Measures, 3-19-24_CLEAN.docx	Other-Questionnaire
Instrument 6_Supervisor Questionnaire for Repeated Measures, 3-19-24_CLEAN.docx	Other-Questionnaire
Instrument 7_Supervisee Questionnaire for Repeated Measures Sample, 1-17-24, CLEAN.docx	Other-Questionnaire
Instrument 7_Supervisee Questionnaire for Repeated Measures Sample, 1-17-24, CLEAN.docx	Other-Questionnaire
Instrument 8_Focus Group Protocol for Repeated Measures Supervisor Subsample, 1-10-24, CLEAN.docx	Other-Focus Group Protocol
Instrument 8_Focus Group Protocol for Repeated Measures Supervisor Subsample, 1-10-24, CLEAN.docx	Other-Focus Group Protocol
SAS-HV OSC4 Draft SSA OMB 1-17-24, CLEAN.docx SSA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document
SAS-HV OSC4 Draft SSA OMB 1-17-24, CLEAN.docx SSA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document
SAS-HV OSC4 Draft SSB OMB 1-10-24 CLEAN.docx SSB - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document
SAS-HV OSC4 Draft SSB OMB 1-10-24 CLEAN.docx SSB - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document
Recruitment appendices SAS-HV OSC4a OMB package 1-10-24, CLEAN.docx Appendices - Recruitment Materials	IC Document
Recruitment appendices SAS-HV OSC4a OMB package 1-10-24, CLEAN.docx Appendices - Recruitment Materials	IC Document
Change Request SAS-HV 3-19-24_CLEAN.docx NonSub Change - SAS-HV Feedback Updates	IC Document
Change Request SAS-HV 3-19-24_CLEAN.docx NonSub Change - SAS-HV Feedback Updates	IC Document
NOA_SAS-HV 3_NonSub Change_Pretesting GenIC_0970-0355_4.1.24.pdf NOA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document
NOA_SAS-HV 3_NonSub Change_Pretesting GenIC_0970-0355_4.1.24.pdf NOA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Supporting and Strengthening the Home Visiting Workforce (SAS-HV): Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting

Agency IC Tracking Number:

OPRE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	Instrument 1_Participant and Contextual Characteristics Questionnaire 3-19-24_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Focus Group Protocol	Instrument 2_Focus Group Protocol for Relevance Across Racial and Ethnic Subgroups, 1-10-24, CLEAN.docx	Yes	Yes	Printable Only
Other-Reflective Measure	Instrument 3_ Reflective Supervision Measure, 3-19-24_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Reflective Measure	Instrument 4_ Participant Perspectives on Reflective Supervision Measure, 3-19-23 CLEA.docx	Yes	Yes	Printable Only
Other-Validity Measure	Instrument 5_Measures to Examine Convergent and Concurrent Validity, 12-15-23_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Questionnaire	Instrument 6_Supervisor Questionnaire for Repeated Measures, 3-19-24_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Questionnaire	Instrument 7_Supervisee Questionnaire for Repeated Measures Sample, 1-17-24, CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Focus Group Protocol	Instrument 8_Focus Group Protocol for Repeated Measures Supervisor Subsample, 1-10-24, CLEAN.docx	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 785

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,570	1,570
Annual IC Time Burden (Hours)	810	810
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	SAS-HV OSC4 Draft SSA OMB 1-17-24, CLEAN.docx	08/22/2024
SSB - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	SAS-HV OSC4 Draft SSB OMB 1-10-24 CLEAN.docx	08/22/2024
Appendices - Recruitment Materials	Recruitment appendices SAS-HV OSC4a OMB package 1-10-24, CLEAN.docx	08/22/2024
NonSub Change - SAS-HV Feedback Updates	Change Request SAS-HV 3-19-24_CLEAN.docx	08/22/2024
NOA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting	NOA_SAS-HV 3_NonSub Change_Pretesting GenIC_0970-0355_4.1.24.pdf	08/22/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.