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

Document	Type	Status	Availability
Form 9 Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Available
Form 9 Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified	Repair queued
Form 8 Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	Unchanged	Repair queued
Form 8 Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	Unchanged	Repair queued
Form 7 Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged	Repair queued
Form 7 Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged	Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Unchanged	Repair queued
Form 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Unchanged	Repair queued
Form 5 Program Staff Focus Group Protocol (Installation & Refinement Phases)	Form and Instruction	Unchanged	Repair queued
Form 5 Program Staff Focus Group Protocol (Installation & Refinement Phases)	Form and Instruction	Unchanged	Repair queued
Form 4 Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	Unchanged	Repair queued
Form 4 Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	Unchanged	Repair queued
Form 3 Program Staff Focus Group Protocol 2 (Co-definition Phase)	Form and Instruction	Unchanged	Repair queued
Form 3 Program Staff Focus Group Protocol 2 (Co-definition Phase)	Form and Instruction	Unchanged	Repair queued
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Unchanged	Repair queued
Form 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Unchanged	Repair queued
Form 1 Program Eligibility Protocol	Form and Instruction	Unchanged	Repair queued
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	Repair queued
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	Repair queued
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	Repair queued
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	Repair queued
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	Repair queued
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

IC ID	Collection	Type	Status
267295	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified
267295	Focus Group Participant Characteristics Form – All Phases	Form and Instruction	Modified
267294	Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	Unchanged
267294	Program Staff Focus Group Protocol (Summary Phase)	Form and Instruction	Unchanged
267293	Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged
267293	Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged
267290	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Unchanged
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	Unchanged
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	Unchanged
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	Unchanged
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	Unchanged
267284	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Unchanged
267283	Program Eligibility Protocol	Form and Instruction	Unchanged
267283	Program Eligibility Protocol	Form and Instruction	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0092
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202412-0906-001
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31