OMB control number

Parents and Children Together (PACT) Evaluation

OMB 0970-0403 · HHS/ACF.

OMB 0970-0403

Latest Forms, Documents, and Supporting Material

Document Name
PACT follow up supporting statement B - 11.22.13 - clean.docx Supporting Statement B
PACT Appendix L - Invitations and Reminders - 10-8-13.docx Supplementary Document
PACT Appendix K - Calculations for Burden 10-4-13.docx Supplementary Document
Appendix J - PACT Hispanic RF Consent Program Participants 10.8.13.docx Supplementary Document
Appendix I - PACT RF Consent Program Participants 10.8.13.docx Supplementary Document
Appendix H - PACT HM Consent Program Participants 10.8.13.docx Supplementary Document
PACT Appendix G - Certificate of Confidentiality- 1-3-13 (1).pdf Supplementary Document
PACT Appendix E - RF followup QxQ.docx Supplementary Document
PACT Appendix D - HM followup QxQ.docx Supplementary Document
PACT Appendix C - RF Baseline Q-by-Q Justification - 10-31-12 (2) (2).docx Supplementary Document
PACT Appendix B - HM Baseline Q-by-Q Justification - 2-4-13 (1).docx Supplementary Document
PACT Appendix A - Description Eval Strategies (1).docx Supplementary Document
PACT follow up supporting statement A - 11.22.13 - clean.docx Supporting Statement A
NEW - Instrument #20: HM Follow-up survey - Study Participants Other-Survey
NEW - Instrument #19: RF Follow-up survey - Study Participants Other-Survey
Instrument #18: Questionnaires for Participants in Focus Group with Hispanic Population Focus Other-Questionaire
Instrument #17: Focus Group Guide - Hispanic Population Focused Other-Focus Group Guide
Instrument #16: Semi-structured interview topic guide - Hispanic Population Focus Other-Topic Guide
Instrument #15: Check in Call Guide Other-Guide
Instrument #14: Guide for in-person, in-depth interviews with study participants Other-Interview Guide
Instrument #13: Telephone interviews - Program participants (program dropouts) Other-Interview
Instrument #12: Focus Group Guide Other-Guide
Instrument 11b: On-line Working Alliance Inventory - Participants Other-Inventory
Instrument 11a: On-line Working Alliance Inventory - Program Staff Other-Inventory
Instrument #10: Telephone interviews (with staff at referral organizations) Other-Interview
Instrument #9: On-line Survey for Program Staff Other-Survey
Instrument #8: Semi-structured interview topic guide Other-Topic Guide
Instrument #7: HM Study MIS Other-MIS
Instrument 5: Baseline survey - HM Study Participants Other-Survey
Instrument 4b: Introductory script - HM Program Applicants Other-Script
Instrument 4a: Introductory script - Program Staff Burden Other-Script
Instrument #6 - RF Study MIS Other-MIS
Instrument #3 - Baseline Survey Other-Survey
Instrument #2b: Introductory Script - Program Applicants Other-Script
Instrument #2a: Introductory Script - Grantee Staff Other-Script
Instrument #1: PACT - Discussion Guide Other-Discussion Guide

All Historical Document Collections

201310-0970-004 Approved with change	Revision of a currently approved collection	2013-10-30
201307-0970-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-07-23
201303-0970-001 Approved with change	Revision of a currently approved collection	2013-03-01
201206-0970-012 Approved with change	Revision of a currently approved collection	2012-06-27
201201-0970-004 Approved with change	New collection (Request for a new OMB Control Number)	2012-01-30