Navy New Parent Support Program (NPSP) Evaluation Addendum: Phase II

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0704-0645_NPSP_PhaseII_SSB_20260309.docx	Supporting Statement B	Uploaded 2026-05-20	Available
0704-0645_SSA_7.22.26.docx	Supporting Statement A	Uploaded 2026-07-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279614	Family Needs Screener	Other-Survey	New
254575	Parenting Skills Assessment (PSA-10)	Other-Assessment	Removed
254574	Ages & Stages Questionnaire, Third Edition (ASQ-3)	Other-Questionnaire	Removed
254572	Fidelity Checklist (FC)	Other-Checklist	Removed
254569	Evidence-Based Practice Attitudes Scale (EBPAS)	Other-Survey	Removed
254567	Client Wave 3 and 4 Survey	Other-Survey	Removed
254566	Client Wave 2 Survey	Other-Survey	Removed
254565	Client Wave 1 Survey	Other-Survey	Removed

ICR Details

OMB Control No: 0704-0645	ICR Reference No: 202603-0704-006
Status: Received in OIRA	Previous ICR Reference No: 202204-0704-009
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Navy New Parent Support Program (NPSP) Evaluation Addendum: Phase II
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/29/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	15,000	0
Time Burden (Hours)	3,750	0
Cost Burden (Dollars)	122,475	0

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Abstract: To assist in understanding the benefits and limitations of using a DoD developed, standardized, evidence-informed home visitation curriculum within the New Parent Support Program (NPSP). Take Root Home Visitation [TRHV]) is a tailorable home visitation curriculum that addresses risk and protective factors for child maltreatment.

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Authorizing Statute(s): None

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:
	91 FR 13018	03/18/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 45798	07/21/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Ages & Stages Questionnaire, Third Edition (ASQ-3)
Client Wave 1 Survey
Client Wave 2 Survey
Client Wave 3 and 4 Survey
Evidence-Based Practice Attitudes Scale (EBPAS)
Family Needs Screener
Fidelity Checklist (FC)
Parenting Skills Assessment (PSA-10)

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	15,000	0	0	15,000	-1,380	1,380
Annual Time Burden (Hours)	3,750	0	0	3,750	-863	863
Annual Cost Burden (Dollars)	122,475	0	0	122,475	-23,571	23,571

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: Burden has increased due to the number of respondents increasing from 315 Navy-connected participants in phase I to 45,000 military-connected participants across all Services in phase II.

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Annual Cost to Federal Government: $324,750

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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: 07/29/2026

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