Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
The Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project_email 8.7.24.msg	Public Comments	Uploaded 2024-08-07	Repair queued
HV Reach Project - Comment Submission_email 8.7.24.msg	Public Comments	Uploaded 2024-08-07	Repair queued
Comment on the Reach of Home Visiting_Mary Sparks_email 7.15.24.msg	Public Comments	Uploaded 2024-07-15	Repair queued
51320 HV REACH_SSB_to OPRE_8.8.docx	Supporting Statement B	Uploaded 2024-09-09	Repair queued
51320 HV REACH_SSB_to OPRE_8.8.docx	Supporting Statement B	Uploaded 2024-09-09	Repair queued
51320 HV REACH_SSA_to OPRE_8.21.docx	Supporting Statement A	Uploaded 2024-09-09	Repair queued
51320 HV REACH_SSA_to OPRE_8.21.docx	Supporting Statement A	Uploaded 2024-09-09	Repair queued
Appendix D. Study FAQs for families.docx	Supplementary Document	Uploaded 2024-09-09	Available
Appendix D. Study FAQs for families.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued
Appendix C. Home visiting program recruitment email.docx	Supplementary Document	Uploaded 2024-09-09	Available
Appendix C. Home visiting program recruitment email.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued
Appendix B. Centralized intake admin recruitment email.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued
Appendix B. Centralized intake admin recruitment email.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued
Appendix A. Study FAQs for staff.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued
Appendix A. Study FAQs for staff.docx	Supplementary Document	Uploaded 2024-09-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
270765	Instrument 7: Participant Characteristics Form	Other-Characteristics Form	New
270764	Instrument 6: Family Interview Protocol	Other-Interview	New
270763	Instrument 5: Home Visitor and Other Staff Interview Protocol		New
270762	Instrument 4: Home Visiting Program Director and Other Staff Interview Protocol		New
270761	Instrument 3: Document Review Request	Other-Document Review Request	New
270760	Instrument 2: Centralized Intake Administrator and Other Staff Interview Protocol		New
270759	On-site coordination	Other-On-site coordination	New
270758	Instrument 1: Centralized Intake Administrator Screening Talking Points or Screening Email with Questions	Other-Intake Screener	New

ICR Details

OMB Control No: 0970-0638	ICR Reference No: 202409-0970-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/12/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2026	15 Months From Approved
Responses	352	0	0
Time Burden (Hours)	251	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project is being conducted by the Office of Planning, Research, and Evaluation in the Administration for Children and Families in collaboration with the Health Resources and Services Administration. As part of this project, this request is for a onetime set of qualitative case studies to describe centralized intake systems, used by seven purposively selected sites that refer families to Early Childhood Home Visiting programs. The research team will conduct virtual or in-person site visits, with semi-structured interviews and document collection, to understand different features of these systems and family and staff experiences with outreach, screening, referrals, and enrollment processes.

---

Authorizing Statute(s): US Code: 42 USC 711 Name of Law: Social Security Act, Title V, §511
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 56384	07/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 74213	09/12/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Instrument 1: Centralized Intake Administrator Screening Talking Points or Screening Email with Questions
Instrument 2: Centralized Intake Administrator and Other Staff Interview Protocol
Instrument 3: Document Review Request
Instrument 4: Home Visiting Program Director and Other Staff Interview Protocol
Instrument 5: Home Visitor and Other Staff Interview Protocol
Instrument 6: Family Interview Protocol
Instrument 7: Participant Characteristics Form
On-site coordination

---

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	352	0	0	352	0	0
Annual Time Burden (Hours)	251	0	0	251	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request.

---

Annual Cost to Federal Government: $799,296

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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)? Yes

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

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: 09/12/2024

---