OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation

IC 269199 under ICR 202409-0970-014 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Screener
Other-Interview Guide
Other-Interview Guide
Other-Discussion Guide
Other-Discussion Guide
Other-Interview Guide
Other-Interview Guide
Other-Survey
Other-Survey
Other-Survey
Other-Survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Instrument 1. Program Recruitment and Eligibility Screener.docx Yes Yes Fillable Fileable
Other-Interview Guide Instrument 2. Interview guide for needs identification.docx Yes Yes Printable Only
Other-Discussion Guide Instrument 3. Discussion guide for strategic planning meetings.docx Yes Yes Printable Only
Other-Interview Guide Instrument 4. Interview Guide for Learning Cycles.docx Yes Yes Printable Only
Other-Survey Instrument 5. Caregiver participant survey for learning cycles.docx Yes Yes Fillable Fileable
Other-Survey Instrument 6. Staff survey for learning cycles.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

292 0
   
Individuals or Households
 
   99 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 876 0 0 0 0 876
Annual IC Time Burden (Hours) 222 0 0 0 0 222
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Program Support GenIC: HomeEc Formative Evaluation HomeEc OSC3 Formative ACF Program Support_0970-0531_SSA GenIC.docx 07/05/2024
SSB - Program Support GenIC: HomeEc Formative Evaluation HomeEc OSC3 Formative ACF Program Support_0970-0531_SSB GenIC_CLEAN.docx 07/05/2024
Appendix A. Invitation to Participate in Recruitment Screener Appendix A. Invitation to Participate in Recruitment Screener.docx 07/05/2024
Appendix B. Formative Evaluation Information Appendix B. Formative Evaluation Information.docx 07/05/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.