Information Collection Request

Home Visiting Assessment of Implementation Quality Study: Understanding Supervisor Supports in Home Visiting

ICR 202412-0906-004 · OMB 0906-0100 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 Home Visitor Focus Group Protocol Form and Instruction Unchanged Repair queued
Form 4 Home Visitor Focus Group Protocol Form and Instruction Unchanged Repair queued
Form 3 Supervisor Focus Group Form and Instruction Unchanged Available
Form 3 Supervisor Focus Group Protocol Form and Instruction Unchanged Available
Form 2 LIA Program Director Interview Guide Form and Instruction Unchanged Available
Form 2 Home Visiting Program Leader Interview Guide Form and Instruction Unchanged Available
Form 2 Home Visiting Program Leader Interview Guide Form and Instruction Unchanged Available
Form 1_redline Appendix C_Instrument 1 (Updated 12052024) Form and Instruction Modified Available
Form 1 Recruitment Survey Form and Instruction Modified Available
Form 1 Recruitment Survey Form and Instruction Modified Missing upstream
Template_OMB NonSubstantive Change Request_HV-AIM Supervision.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-05 Available
Template_OMB NonSubstantive Change Request_HV-AIM Supervision.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-05 Repair queued
Supporting Statement B- MCHB-HV-AIM Supervision Support- New - OIRA_revised.7.30.24 (Clean).docx Supporting Statement B Uploaded 2024-08-01 Available
Supporting Statement B- MCHB-HV-AIM Supervision Support- New - OIRA_revised.7.30.24 (Clean).docx Supporting Statement B Uploaded 2024-08-01 Repair queued
Supporting Statement A-MCHB-HV-AIM Supervision Support- New - OIRA_revised.7.30.24 (Clean).docx Supporting Statement A Uploaded 2024-08-01 Available
Supporting Statement A-MCHB-HV-AIM Supervision Support- New - OIRA_revised.7.30.24 (Clean).docx Supporting Statement A Uploaded 2024-08-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
267995 Home Visitor Focus Group Protocol Form and Instruction UnchangedHome Visitor Focus Group Protocol
267995 Home Visitor Focus Group Protocol Form and Instruction Unchanged
267994 Supervisor Focus Group Protocol Form and Instruction UnchangedSupervisor Focus Group
267994 Supervisor Focus Group Protocol Form and Instruction Unchanged
267993 Home Visiting Program Leader Interview Guide Form and Instruction UnchangedLIA Program Director Interview Guide
267993 Home Visiting Program Leader Interview Guide Form and Instruction UnchangedHome Visiting Program Leader Interview Guide
267993 Home Visiting Program Leader Interview Guide Form and Instruction Unchanged
267992 Recruitment Survey Form and Instruction ModifiedAppendix C_Instrument 1 (Updated 12052024)
267992 Recruitment Survey Form and Instruction ModifiedRecruitment Survey
267992 Recruitment Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2027 08/31/2027 08/31/2027
550 0 400
224 0 243
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Home Visiting Program Leader Interview Guide 2, 2 ,  
Home Visitor Focus Group Protocol 4
Recruitment Survey 1, 1_redline ,  
Supervisor Focus Group Protocol 3

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 550 400 0 150 0 0
Annual Time Burden (Hours) 224 243 0 -19 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No