Information Collection Request

Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance

ICR 202506-0970-007 · OMB 0970-0527 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix K_Sustainability Survey FAQ.docx Supplementary Document Uploaded 2025-06-10 Repair queued
Appendix K_Sustainability Survey FAQ.docx Supplementary Document Uploaded 2025-06-10 Repair queued
RPG7_OMB Renewal_SSA_07212025_ACF Response Passback_v2_clean.docx Supporting Statement A Uploaded 2025-07-22 Repair queued
RPG7_OMB Renewal_SSA_CLEAN.docx Supporting Statement A Uploaded 2025-06-10 Missing upstream
Appendix J_Sustainability Survey Outreach Emails.docx Supplementary Document Uploaded 2025-06-10 Repair queued
Appendix J_Sustainability Survey Outreach Emails.docx Supplementary Document Uploaded 2025-06-10 Repair queued
Appendix I_Individual interviews and focus groups outreach materials.docx Supplementary Document Uploaded 2025-06-10 Repair queued
Appendix I_Individual interviews and focus groups outreach materials.docx Supplementary Document Uploaded 2025-06-10 Repair queued
Appendix A_Copy of Authorizing Legislation.docx Supplementary Document Uploaded 2025-06-10 Available
Appendix A_Copy of Authorizing Legislation.docx Supplementary Document Uploaded 2025-06-10 Missing upstream
RPG7_OMB Renewal_SSB_07212025_ACF Response Passback_clean.docx Supporting Statement B Uploaded 2025-07-22 Repair queued
RPG7_OMB Renewal_SSB.docx Supporting Statement B Uploaded 2025-06-10 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
275692 Site visit and key informant data collection: Focus groups with participants enrolled in RPG services (Appendix D) Other-Interview protocol New
275691 Site visit and key informant data collection: Individual interviews with participants enrolled in RPG services (Appendix C) Other-Interview protocol New
251666 Site visit and key informant data collection: Sustainability survey (Appendix E) Other-Survey Modified
234669 Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (16 grantees) (Appendix G) Other-Data Elements Modified
234668 Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix G) Other-Data Elements Modified
234667 Outcomes and impacts data - Standardized instruments: Enter data into local database (Appendix G) Other-Data Elements Modified
234666 Outcomes and impacts data - Administrative data: Report administrative data (Appendix H) Other-Admin Data Modified
234665 Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix H) Other-Admin Data Modified
234663 Enrollment and services data: Service log entries (Appendix F) Other-Data Elements Modified
234662 Enrollment and services data: Case closure – prenatal (Appendix F) Other-Data Elements Modified
234661 Enrollment and services data: Case closure (Appendix F) Other-Data Elements Modified
234656 Enrollment and services data: Case enrollment data (Appendix F) Other-Data Elements Modified
234655 Enrollment and services data: Semiannual progress reports (Appendix E) Other-Progress Report Removed
234654 Site visit and key informant data collection: Partner survey (Appendix C) Other-Survey Removed
234652 Site visit and key informant data collection: Partner representative interviews (Appendix B) Other-Interview Modified
234651 Site visit and key informant data collection: Frontline staff interviews (Appendix B) Other-Interview Modified
234650 Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B) Other-Interview Modified
234648 Site visit and key informant data collection: Program director individual interview (Appendix B) Other-Interview Guide Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2028 36 Months From Approved
175,604 0 0
11,783 0 0
0 0 0





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (16 grantees) (Appendix G)
Enrollment and services data: Case closure (Appendix F)
Enrollment and services data: Case closure – prenatal (Appendix F)
Enrollment and services data: Case enrollment data (Appendix F)
Enrollment and services data: Semiannual progress reports (Appendix E)
Enrollment and services data: Service log entries (Appendix F)
Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix H)
Outcomes and impacts data - Administrative data: Report administrative data (Appendix H)
Outcomes and impacts data - Standardized instruments: Enter data into local database (Appendix G)
Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix G)
Site visit and key informant data collection: Focus groups with participants enrolled in RPG services (Appendix D)
Site visit and key informant data collection: Frontline staff interviews (Appendix B)
Site visit and key informant data collection: Individual interviews with participants enrolled in RPG services (Appendix C)
Site visit and key informant data collection: Partner representative interviews (Appendix B)
Site visit and key informant data collection: Partner survey (Appendix C)
Site visit and key informant data collection: Program director individual interview (Appendix B)
Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B)
Site visit and key informant data collection: Sustainability survey (Appendix E)

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 175,604 0 0 -176,307 0 351,911
Annual Time Burden (Hours) 11,783 0 0 -19,740 0 31,523
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No