Information Collection Request

Assessing the Use of Informal Contacts to Promote Caregivers’ Engagement and Satisfaction with Early Childhood Home Visiting Through Rapid Cycle Learning

ICR 202502-0906-004 · OMB 0906-0098 · Active

Forms and Documents

Document	Type	Status	Availability
Form 9 Focus Group Participant Characteristics Form	Form and Instruction	Modified	Available
Form 9 Focus Group Participant Characteristics Form	Form and Instruction	Modified	Missing upstream
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	Missing upstream
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 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 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	Missing upstream
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	Missing upstream
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 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	Form and Instruction	Unchanged	Available
Form 1 Program Eligibility Protocol	Form and Instruction	Unchanged	Repair queued
0906-0098_MCHB_OMB NonSubstantive Change Request_02282025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-14	Available
0906-0098_MCHB_OMB NonSubstantive Change Request_02282025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-14	Missing upstream
0906-0098_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-04	Available
0906-0098_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-04	Missing upstream
OMB NonSubstantive Change Request_0906-0098.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-30	Available
OMB NonSubstantive Change Request_0906-0098.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-30	Repair queued
0906 0098_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-25	Available
0906 0098_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-25	Missing upstream
Appendix D_Informal Contacts Consent Statements.docx	Supplementary Document	Uploaded 2024-07-25	Available
Appendix D_Informal Contacts Consent Statements.docx	Supplementary Document	Uploaded 2024-07-25	Repair queued
Appendix C_Informal Contacts Contact Scripts.docx	Supplementary Document	Uploaded 2024-07-25	Available
Appendix C_Informal Contacts Contact Scripts.docx	Supplementary Document	Uploaded 2024-07-25	Missing upstream
Appendix B_Informal Contacts Recruitment and Outreach.docx	Supplementary Document	Uploaded 2024-07-25	Available
Appendix B_Informal Contacts Recruitment and Outreach.docx	Supplementary Document	Uploaded 2024-07-25	Missing upstream
Supporting Statement B- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx	Supporting Statement B	Uploaded 2024-07-23	Available
Supporting Statement B- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx	Supporting Statement B	Uploaded 2024-07-23	Repair queued
Supporting Statement A- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx	Supporting Statement A	Uploaded 2024-07-23	Available
Supporting Statement A- MCHB- ADAPT HV Informal Contacts- 6.10.24 .docx	Supporting Statement A	Uploaded 2024-07-23	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
269570	Focus Group Participant Characteristics Form	Form and Instruction	Modified
269570	Focus Group Participant Characteristics Form	Form and Instruction	Modified
267131	Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	Unchanged
267131	Program Staff Focus Group Protocol – Summary Phase	Form and Instruction	Unchanged
267130	Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged
267130	Family Post-Visit Form – Refinement Phase	Form and Instruction	Unchanged
267129	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Unchanged
267129	Home Visitor Learning Cycle Form – Installation & Refinement Phases	Form and Instruction	Unchanged
267128	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Unchanged
267128	Program Staff Focus Group Protocol – Installation & Refinement Phases	Form and Instruction	Unchanged
267127	Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	Unchanged
267127	Family Focus Group Protocol – Co-definition & Summary Phases	Form and Instruction	Unchanged
267126	Program Staff Focus Group Protocol 2 – Co-definition Phase	Form and Instruction	Unchanged
267126	Program Staff Focus Group Protocol 2 – Co-definition Phase	Form and Instruction	Unchanged
267124	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Unchanged
267124	Program Staff Focus Group Protocol 1 (Co-definition Phase)	Form and Instruction	Unchanged
267123	Program Eligibility Protocol	Form and Instruction	Unchanged
267123	Program Eligibility Protocol	Form and Instruction	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0098
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202412-0906-003
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31