Attachment B - Formative for Program Support Ongoing Burden

Attachment B - Ongoing Burden 0970-0531.docx

Formative Data Collections for ACF Program Support

Attachment B - Formative for Program Support Ongoing Burden

OMB: 0970-0531

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Attachment B: Ongoing Burden – Formative Data Collections for ACF Program Support

(OMB #0970-0531)








July 2022






Office of Planning, Research, and Evaluation

Administration for Children and Families

U.S. Department of Health and Human Services


Mary Switzer Building

330 C St., SW

Washington, D.C. 20201





Previously Approved Information Collections

At the time of this extension request, 30 GenICs are ongoing, with a total of 13,652 burden hours.


Ongoing

The following data collections are ongoing at the time of this submission. Detailed burden tables follow Table 1. Total Ongoing. Burden.


Table 1. Total Ongoing Burden


Project

# Respondents

Burden Hours

Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)

113

678

Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)

1,476

3,157

Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

240

147

Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)

60

750

Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment

38

38

Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys

11,539

2,658

Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings

4,500

195

ACF Privacy and Confidentiality Toolkit Case Studies

99

41

Next Generation of Enhanced Employment Strategies Project - MOMS Partnership

468

255

Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - MARCH 2020 (PREIS and TPREP templates)

42

420

Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients

16

64

Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase

396

336

Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

21

375

OFA Training and Technical Assistance (TTA)

111

111

Personal Responsibility Education Program (PREP) Local Evaluation Support

24

80

Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds

52

156

Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage

265

265

Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages

265

265

Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage

265

265

Strengthening the Implementation of Marriage and Relationship Programs (SIMR)

720

1895

Administration for Children and Families External Speaker Request Form

60

30

Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project

120

120

Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report

25

600

Tribal Early Learning Initiative (TELI) Statement of Interest

45

90

Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey

135

101

Family Economic Mobility (FEM) Training and Technical Assistance Feedback

50

59

Multi-Site Study of State-Tribal Collaboration in Home Visiting

42

63

Tribal Home Visiting Continuous Quality Improvement Collaboratives

23

138

HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)

168

277

Services for Survivors of Torture Medical Care Survey

35

23

Totals:

21,413

13,652



Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours

Data collection plan template

113

3

6

2,034

678



Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)

Instrument

Respondent

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument #1: SIRF Observation

Learning Cycle Manager and Program Staff

69

55

.6

2,277

Instrument #2: SIRF End of Learning Cycle Site Reflections

Program Staff

60

4

0.25

60

Instrument #3: SIRF Reflections

Fathers

774

2

0.25

387

Instrument #4: SIRF Staff Semi-Structured Discussion Topics

Program Staff

60

1

1

60

Instrument #5: SIRF Program Participant Semi-Structured Discussion Topics

Fathers

100

1

1

100

Instrument #6: Non-Grantee Use of nFORM’s Applicant Characteristics Survey

Fathers

400

1

0.25

100

Instrument #7: Non-Grantee Use of nFORM – Staff Data Entry

Program Staff

3

1,334

0.04

160

Instrument #8: Non-Grantee Use of nFORM’s Program Operations Survey

Program staff

10

4

.32

13

Totals

1,476


3.71

3,157



Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

1. Parent Screener Script

150

1

.08

12

2. Parent Discussion Guide

90

1

1.5


135

Totals

240



147



Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden

Hours

Impact final report template

36

1

25

900

450

Descriptive final report template

24

1

25

600

300

Totals:

60

1

25

1,500

750



Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours

Self-Reflection Survey Tool (Individual Response)

18

3

1

54


18

Self-Reflection Survey Tool

(Team Response)

20 (5x4)

3

1

60

20

Totals:

38

3

1

114

38




Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys

Instrument

Total Number of Respondents Contributing for 8 Grantees

Annual Number of Respondents

Number of Responses Per Respondent

Average Burden Hours Per Response

Annual Burden Hours

HTYPE for Educators and Other Staff Pre- and Post-Implementation Survey (Instrument 1)

16,060

4,015

1

.20

803

HTYPE for Students Pre- and Post-Implementation Survey (Instruments 2, 3)

29,462

7,365

1

.25

1,841.25

HTYPE Training of Trainers (ToT) Post-Implementation Survey (Instrument 4)

638

159

1

.0835

13.28

Totals:

11,539

1

Avg .230301

2,657.53



Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours

Standard Evaluation Survey

4,500

1

0.13

585

195



ACF Privacy and Confidentiality Toolkit Case Studies

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours

Instrument 1 - Questionnaire to help select orgs

27

1

.5

13.5

5

Instrument 2 - Semi-Structured Interviews

72

1

1.5

108

36

Totals:

99

1

Avg: 1.2424


41



Next Generation of Enhanced Employment Strategies Project - MOMS Partnership

Instrument

Respondent

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Survey (A)

Orientation attendees

80

1

0.083

7

Focus group (B)

Orientation facilitators

8

4

1.000

32

Survey (C)

Stress Management Course attendees

80

2

0.083

13

Focus group (D)

Stress Management Course facilitators

8

4

1.000

32

Survey (E)

MOMS Moving Forward attendees

80

2

0.083

13

Focus group (F)

MOMS Moving Forward coaches

8

4

1.000

32

Survey (G)

Staff at referral agencies

60

4

0.083

20

Survey (H)

Attendees at recruitment events

120

1

0.083

10

Focus group (I)

Staff at referral agencies

16

4

1.000

64

Focus group (J)

Intake specialists

8

4

1.000

32

Totals:

468



255



Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - MARCH 2020 (PREIS and TPREP templates)

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Impact analysis plan template

13

3

5

195

Descriptive analysis plan template

8

3

5

120

Lessons learned and promising practices template - PREIS

13

1

5

65

Lessons learned and promising practices template – Tribal PREP

8

1

5

40

Totals:

42

2

5

420



Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument 1: Rapid-Cycle Learning Plan Template

16

3

1.33

64









Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument 1. Facilitator Pre-Training Survey

36

1

0.167

6

Instrument 2. Facilitator Post-Training Survey

36

1

0.167

6

Instrument 3. Facilitator Interview Guide

36

2

0.75

54

Instrument 4. Youth Focus Group Protocol

360

1

0.75

270

Estimated annual burden total

336



Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Usability Testing Interview Protocol – Individual administration

9

1

5

45

Usability Testing Interview Protocol – Group administration

12

1

27.5

330

Total




375



OFA Training and Technical Assistance (TTA)

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

FastTRAC Updates

111

6

10 min
(0.167 hrs)

111



Personal Responsibility Education Program (PREP) Local Evaluation Support

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours

PREIS Evaluation Plan Template

12

1

12

144

48

PREIS Implementation Plan Template

12

1

8

96

32

Totals




240

80





Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Child Care Stabilization Grants: Interviewer Guide

52

6

.17

53

Child Care Supplemental Funds: Interviewer Guide

52

6

.33

103


52



156



Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

TCBC ARP Act Stabilization Grants TA Exploring Guide

265

1

1

265



Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

TCBC ARP Act Stabilization Grants TA Developing Guide

265

1

1

265



Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

TCBC ARP Act Stabilization Grants TA Implementing Guide (Attachment A)

265

1

1

265









Strengthening the Implementation of Marriage and Relationship Programs (SIMR)

Instrument

Respondent

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

SIMR staff survey


Frontline staff

60

52

0.17

530

SIMR participant focus groups

Program participants

560

1

1.5

840

SIMR staff interview topic guide

Program leaders, managers, and supervisors

40

7

0.75

210

Frontline staff

60

7

0.75

315

Estimated burden total

1,895



Administration for Children and Families External Speaker Request Form

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Form requesting participation of ACF leadership or subject

matter experts at external event

60

1

.5

30



Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument 1: Fidelity logs

24

2

.17

8

Instrument 2: Facilitator interviews

16

1

1

16

Instrument 3: Post-intervention focus groups (youth)

96

1

1

96

Total




120






Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Total Burden Hours

Annual Burden Hours1

OAW Resettlement SRC Monthly Report

25

18

2

900

600



Tribal Early Learning Initiative (TELI) Statement of Interest

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

TELI Statement of Interest

30

1

2

60

Tribal Leadership Statement of Support

15

1

2

30

Totals:

45

1

2

90



Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Interview

135

1

.75

101



Family Economic Mobility (FEM) Training and Technical Assistance Feedback

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Pre-FEM Academy Participation Feedback

50

1

.17

8.5

Post-FEM Academy Participation Feedback

50

3

.33

16.5

Short-Term Outcome Interview Form

50

6

.67

33.5

Total Burden and Costs

58.5



Multi-Site Study of State-Tribal Collaboration in Home Visiting

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

INSTRUMENT A: Interview protocol

42

1

1.5

63



Tribal Home Visiting Continuous Quality Improvement Collaboratives

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument 1: Plan-Do-Study-Act Planning Tool

23

6

1

138

HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Instrument 1. Discussion Guide for REFRAME: HMRF Program Leadership Focus Groups

35

1

1.5

53

Instrument 2. Discussion Guide for REFRAME: HMRF Program Client-Facing Staff Focus Groups

35

1

1.5

53

Instrument 3. Discussion Guide for HMRF Client Focus Group

50

1

1.5

75

Instrument 4. Discussion Guide for REFRAME Community Listening Sessions

48

1

2

96

Totals

168



277



Services for Survivors of Torture Medical Care Survey

Instrument

No. of Respondents

No. of Responses per Respondent

Avg. Burden per Response

Burden Hours

Medical Needs Assessment

35

1

.667

23


1 Reflects 12 months of submissions.

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