OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Center for Indigenous Research Collaborations and Learning in Home Visiting (CIRCLE-HV)

IC 278673 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Survey
Other-Interview Protocol
Other-Interview Protocol
Other-Interview Protocol
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Center for Indigenous Research Collaborations and Learning in Home Visiting (CIRCLE-HV) OPRE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 1 Caregiver Survey_v3_clean.docx Yes Yes Fillable Fileable
Other-Survey Instrument 2 Home Visitor Survey_v3_clean.docx Yes Yes Fillable Fileable
Other-Survey Instrument 3 Program Leader Survey_v3_clean.docx Yes Yes Fillable Fileable
Other-Interview Protocol Instrument 4 Caregiver Interview Protocol_v2_clean.docx Yes Yes Printable Only
Other-Interview Protocol Instrument 5 Home Visitor Interview Protocol_v2_clean.docx Yes Yes Printable Only
Other-Interview Protocol Instrument 6 Program Leader Interview Protocol_v2_clean.docx Yes Yes Printable Only

Community and Social Services Social Services

 

211 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 285 0 285 0 0 0
Annual IC Time Burden (Hours) 162 0 162 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Research GenIC - CIRCLE-HV Supporting Statement A_Generic Research_CSS_v7_clean-12-22-25.docx 01/08/2026
SSB Research GenIC - CIRCLE-HV Supporting Statement B_Generic Research_CSS_v7_clean.docx 01/08/2026
Outreach Appendices A-D Outreach Appendices A - D.docx 01/08/2026
Appendix E: CIRCLE-HV Survey Consent Form Appendix E- CIRCLE-HV Survey Consent_v3_clean.docx 01/08/2026
Appendix F: CIRCLE-HV Interview Consent Form Appendix F- CIRCLE-HV Interview Consent_v3_clean.docx 01/08/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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