Information Collection Request

Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits

ICR 202502-0906-002 · OMB 0906-0092 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 9 Focus Group Participant Characteristics Form_Revised 02.28.25 Form and Instruction Modified Available
Form 9 Focus Group Participant Characteristics Form – All Phases Form and Instruction Modified Repair queued
Form 8 0906-0092 8_Program Staff Focus Group Protocol-Summary (Redline 07302024) Form and Instruction Unchanged Available
Form 8 Program Staff Focus Group Protocol (Summary Phase) Form and Instruction Unchanged Available
Form 8 Program Staff Focus Group Protocol (Summary Phase) Form and Instruction Unchanged Repair queued
Form 7 0906-0092 7_Family Post Visit Form-Refinement (Redline 07302024) Form and Instruction Unchanged Available
Form 7 Family Post-Visit Form – Refinement Phase Form and Instruction Unchanged Available
Form 7 Family Post-Visit Form – Refinement Phase Form and Instruction Unchanged Repair queued
Form 6 0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024) Form and Instruction Unchanged Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged Available
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged Repair queued
Form 5 0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024) Form and Instruction Unchanged Available
Form 5 Program Staff Focus Group Protocol – Installation & Refinement Phases Form and Instruction Unchanged Available
Form 5 Program Staff Focus Group Protocol (Installation & Refinement Phases) Form and Instruction Unchanged Repair queued
Form 4 0906-0092 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024) Form and Instruction Unchanged Available
Form 4 Family Focus Group Protocol (Co-definition & Summary Phases) Form and Instruction Unchanged Available
Form 4 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction Unchanged Repair queued
Form 3 0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024) Form and Instruction Unchanged Available
Form 3 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction Unchanged Available
Form 3 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction Unchanged Repair queued
Form 2 0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024) Form and Instruction Unchanged Available
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged Available
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged Repair queued
Form 1 Program Eligibility Protocol (Track Changes 07302024) Form and Instruction Unchanged Available
Form 1 Program Eligibility Protocol Form and Instruction Unchanged Available
Form 1 Program Eligibility Protocol Form and Instruction Unchanged Repair queued
0906-0092_MCHB_OMB NonSubstantive Change Request_02282025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-14 Available
0906-0092_MCHB_OMB NonSubstantive Change Request_02282025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-14 Repair queued
0906-0092_OMB NonSubstantive Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-04 Available
0906-0092_OMB NonSubstantive Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-04 Repair queued
OMB NonSubstantive Change Request_0906-0092.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-30 Available
OMB NonSubstantive Change Request_0906-0092.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-30 Repair queued
Appendix D Active Engagement Consent Statements.docx Supplementary Document Uploaded 2024-04-26 Available
Appendix D Active Engagement Consent Statements.docx Supplementary Document Uploaded 2024-04-26 Repair queued
Appendix C Active Engagement Contact Scripts.docx Supplementary Document Uploaded 2024-04-26 Available
Appendix C Active Engagement Contact Scripts.docx Supplementary Document Uploaded 2024-04-26 Repair queued
Appendix B Active Engagement Recruitment.docx Supplementary Document Uploaded 2024-04-26 Repair queued
Appendix B Active Engagement Recruitment.docx Supplementary Document Uploaded 2024-04-26 Repair queued
Appendix A - Active Engagement 60-day FRN.pdf Supplementary Document Uploaded 2024-04-26 Available
Appendix A - Active Engagement 60-day FRN.pdf Supplementary Document Uploaded 2024-04-26 Repair queued
Supporting Statement B- MCHB- Promote Children’s Engagement and Active Participation in Virtual Home Visits - 6.5.24.docx Supporting Statement B Uploaded 2024-06-10 Available
Supporting Statement B- MCHB- Promote Children’s Engagement and Active Participation in Virtual Home Visits - 6.5.24.docx Supporting Statement B Uploaded 2024-06-10 Repair queued
Supporting Statement A-MCHB- ADAPT HV Active Engagement-6.5.24.docx Supporting Statement A Uploaded 2024-06-10 Available
Supporting Statement A-MCHB- ADAPT HV Active Engagement-6.5.24.docx Supporting Statement A Uploaded 2024-06-10 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
267295 Focus Group Participant Characteristics Form – All Phases Form and Instruction ModifiedFocus Group Participant Characteristics Form_Revised 02.28.25
267295 Focus Group Participant Characteristics Form – All Phases Form and Instruction Modified
267294 Program Staff Focus Group Protocol (Summary Phase) Form and Instruction Unchanged0906-0092 8_Program Staff Focus Group Protocol-Summary (Redline 07302024)
267294 Program Staff Focus Group Protocol (Summary Phase) Form and Instruction UnchangedProgram Staff Focus Group Protocol (Summary Phase)
267294 Program Staff Focus Group Protocol (Summary Phase) Form and Instruction Unchanged
267293 Family Post-Visit Form – Refinement Phase Form and Instruction Unchanged0906-0092 7_Family Post Visit Form-Refinement (Redline 07302024)
267293 Family Post-Visit Form – Refinement Phase Form and Instruction UnchangedFamily Post-Visit Form – Refinement Phase
267293 Family Post-Visit Form – Refinement Phase Form and Instruction Unchanged
267290 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
267290 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction UnchangedHome Visitor Learning Cycle Form – Installation & Refinement Phases
267290 Home Visitor Learning Cycle Form – Installation & Refinement Phases Form and Instruction Unchanged
267288 Program Staff Focus Group Protocol (Installation & Refinement Phases) Form and Instruction Unchanged0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024)
267288 Program Staff Focus Group Protocol (Installation & Refinement Phases) Form and Instruction UnchangedProgram Staff Focus Group Protocol – Installation & Refinement Phases
267288 Program Staff Focus Group Protocol (Installation & Refinement Phases) Form and Instruction Unchanged
267286 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction Unchanged0906-0092 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024)
267286 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction UnchangedFamily Focus Group Protocol (Co-definition & Summary Phases)
267286 Family Focus Group Protocol – Co-definition & Summary Phases Form and Instruction Unchanged
267285 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction Unchanged0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)
267285 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction UnchangedProgram Staff Focus Group Protocol 2 (Co-definition Phase)
267285 Program Staff Focus Group Protocol 2 (Co-definition Phase) Form and Instruction Unchanged
267284 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024)
267284 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction UnchangedProgram Staff Focus Group Protocol 1 (Co-definition Phase)
267284 Program Staff Focus Group Protocol 1 (Co-definition Phase) Form and Instruction Unchanged
267283 Program Eligibility Protocol Form and Instruction UnchangedProgram Eligibility Protocol (Track Changes 07302024)
267283 Program Eligibility Protocol Form and Instruction UnchangedProgram Eligibility Protocol
267283 Program Eligibility Protocol Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 06/30/2027 06/30/2027
976 0 976
326 0 326
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Family Focus Group Protocol – Co-definition & Summary Phases 4, 4 ,  
Family Post-Visit Form – Refinement Phase 7, 7 ,  
Focus Group Participant Characteristics Form – All Phases 9
Home Visitor Learning Cycle Form – Installation & Refinement Phases 6, 6 ,  
Program Eligibility Protocol 1, 1 ,  
Program Staff Focus Group Protocol (Installation & Refinement Phases) 5, 5 ,  
Program Staff Focus Group Protocol (Summary Phase) 8, 8 ,  
Program Staff Focus Group Protocol 1 (Co-definition Phase) 2, 2 ,  
Program Staff Focus Group Protocol 2 (Co-definition Phase) 3, 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 976 976 0 0 0 0
Annual Time Burden (Hours) 326 326 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No