Replication of Recovery and Reunification Interventions for Families-Impact Study (R3-Impact)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement B - R3-Impact 08.09.2023_2025EOedits-adf-clean.docx	Supporting Statement B	Uploaded 2025-03-10	Available
Supporting Statement B - R3-Impact 08.09.2023_2025EOedits-adf-clean.docx	Supporting Statement B	Uploaded 2025-03-10	Repair queued
Supporting Statement A - R3-Impact 08.09.2023_2025EOedits-adf-clean.docx	Supporting Statement A	Uploaded 2025-03-10	Available
Supporting Statement A - R3-Impact 08.09.2023_2025EOedits-adf-clean.docx	Supporting Statement A	Uploaded 2025-03-10	Repair queued
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Available
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Repair queued
R3_NonSub Change Request_April 2024_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-04-15	Available
R3_NonSub Change Request_April 2024_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-04-15	Repair queued
R3_NonSub Change Request_March 2024_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-03-06	Available
R3_NonSub Change Request_March 2024_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-03-06	Repair queued
Appx.E_Crosswalk of Topic Guides to Research Questions.docx	Supplementary Document	Uploaded 2023-08-10	Available
Appx.E_Crosswalk of Topic Guides to Research Questions.docx	Supplementary Document	Uploaded 2023-08-10	Repair queued
Appx.D_Crosswalk of Survey Items to Research Questions_rev 01.31.2025.docx	Supplementary Document	Uploaded 2025-02-26	Available
Appx.D_Crosswalk of Survey Items to Research Questions_rev 01.31.2025.docx	Supplementary Document	Uploaded 2025-02-26	Available
Appx.C_Informed Consent Form - Parent Interview.docx	Supplementary Document	Uploaded 2023-08-10	Repair queued
Appx.C_Informed Consent Form - Parent Interview.docx	Supplementary Document	Uploaded 2023-08-10	Missing upstream
Appx.B_Impact Evaluation Informed Consent_clean.docx	Supplementary Document	Uploaded 2024-03-06	Available
Appx.B_Impact Evaluation Informed Consent_clean.docx	Supplementary Document	Uploaded 2024-03-06	Available
Appendix A_Text from SUPPORT Act Section C. 8082.docx	Supplementary Document	Uploaded 2023-08-10	Available
Appendix A_Text from SUPPORT Act Section C. 8082.docx	Supplementary Document	Uploaded 2023-08-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261538	Participant Interview Information Form	Other-Information Form	Modified
261537	Topic Guide – Parents	Other-Topic Guide	Modified
261536	Topic Guide – Parent/Family Mentors	Other-Topic Guide	Modified
261535	Topic Guide – Mentor Supervisors	Other-Topic Guide	Modified
261533	Topic Guide – Program Managers	Other-Topic Guide	Modified
261531	Topic Guide – Partners	Other-Topic Guide	Modified
261529	Topic Guide – Child Welfare Frontline Staff	Other-Topic Guide	Modified
261522	Topic Guide – Child Welfare Lead Staff	Other-Topic Guide	Modified
261521	Validation Interview Script	Other-Interview Script	Unchanged
261520	Contact Form	Other-Contact Form	Unchanged
261519	Baseline Parent Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0616	ICR Reference No: 202502-0970-051
Status: Active	Previous ICR Reference No: 202404-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Replication of Recovery and Reunification Interventions for Families-Impact Study (R3-Impact)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/01/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026	09/30/2026
Responses	3,626	0	3,626
Time Burden (Hours)	1,294	0	1,294
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research, and Evaluation (OPRE) is conducting the R3-Impact study which includes an impact and implementation evaluation of the Parent Mentor Program (PMP). OMB initially approved data collection instruments for this project on September 21, 2023. A nonsubstantive change request was approved on March 26, 2024. Since approval, the OMB published revisions to statistical policy directive (SPD) No. 15: Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity (89 FR 22182). Since data collection for R-3 Impact is planned over the next few years and study enrollment has not yet begun, OPRE would like to make updates now to implement the new standards as outlined in this publication. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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Authorizing Statute(s): PL: Pub.L. 115 - 271 C. 8082 Name of Law: 2018 Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Pat
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 37067	06/06/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 55050	08/14/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Parent Survey
Contact Form
Participant Interview Information Form
Topic Guide – Child Welfare Frontline Staff
Topic Guide – Child Welfare Lead Staff
Topic Guide – Mentor Supervisors
Topic Guide – Parent/Family Mentors
Topic Guide – Parents
Topic Guide – Partners
Topic Guide – Program Managers
Validation Interview Script

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ICR Summary of Burden

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	3,626	3,626	0	0	0	0
Annual Time Burden (Hours)	1,294	1,294	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,491,468

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/28/2025

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