OMB control number

Responding to Intimate Violence in Relationship Programs (RIViR)

OMB 0970-0503 · HHS/ACF.

OMB 0970-0503

The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for data collection as a component of the Responding to Intimate Violence in Relationship Programs (RIVIR) project. The goals of this research project are to develop improved theoretical frameworks, screening tools, and surrounding protocols for recognizing and addressing intimate partner violence (IPV) and teen dating violence (TDV) in healthy marriage and relationship education (HMRE) programs with the diverse, middle- to low-income populations they serve. We are studying HMRE programs, and we are referring to them as “healthy relationship” (HR) programs in this project (and consequently throughout this document). This project has already conducted several activities using existing data sources and materials to synthesize information about the current state of the field and to identify potential IPV and TDV screeners and protocols. The project is now planning to test these IPV and TDV screeners and surrounding protocols in HR programs. This Information Collection Request seeks approval for this testing component of the RIVIR project. We plan to test standardized quantitative tools, as well as open-ended scripts that create opportunities for disclosure of IPV or TDV among adults and youth who participate in HR programs. This work will include data collection from approximately 1,200 HR program participants and will be completed in collaboration with approximately four HR grantee organizations funded by ACF’s Office of Family Assistance (OFA) to implement HR programs.

The latest form for Responding to Intimate Violence in Relationship Programs (RIViR) expires 2020-11-30 and is listed under ICR 201711-0970-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
NonSub Change Memo - RIViR - Updates for IRB language.docx Justification for No Material/Nonsubstantive Change
RIViR_OMB_SSB_Oct 12 2017_clean.docSupporting Statement B
RIVIR SSA_11 3 17_clean final.docxSupporting Statement A
RIViR OMB Resubmission Memo_Oct 12 2017.docx Supplementary Document
Att_B.4s_Parent permission script_11-9-17_Spanish_CLEAN.docx Supplementary Document
Att_B.3s_Parent permission form_11-9-17_Spanish_CLEAN.docx Supplementary Document
References_Oct 13 2017.docx Supplementary Document
Att_F.1_IRB Approval Notice_renewed.pdf Supplementary Document
Att_D.1_Existing IPV & TDV measures_7-18-17_clean.docx Supplementary Document
Att_B.8_Youth over 18_consent script_9-26-17_clean.docx Supplementary Document
Att_B.7_Youth over 18_consent form_11-9-17_CLEAN.docx Supplementary Document
Att_B.6_Youth assent script_9-26-17_clean.docx Supplementary Document
Att_B.5_Youth assent form_11-9-17_CLEAN.docx Supplementary Document
Att_B.4_Parent permission script_11-9-17_CLEAN.docx Supplementary Document
Att_B.3_Parent Permission Form_11-9-17_CLEAN.docx Supplementary Document
Att_B.2_Adult consent script_9-26-17_clean.docx Supplementary Document
Att_B.1_Adult consent form_9-26-17_clean.docx Supplementary Document
Att_A.3_Recruitment script for youth 18+_9-7-17_clean.docx Supplementary Document
Att_A.2_Recruitment script for adults_6-9-17_clean.docx Supplementary Document
Att_A.1_Lead letter for parents_9-7-17_clean.docx Supplementary Document
Administration of data collection protocol and record-keeping Other-Staff involvement in data collection
Participant recruitment Other-Recruitment Efforts
Contact information form for parents of youth younger than 18 (C.3) Other-Contact Form
Locator section for adults (C.2) Other-Locator Section
Post screener questions for youth (C.1) Other-Post Screener
Post screener questions for adults (C.1) Other-Post Screener
2.3: TDV Screener 3 Other-Screener
2.2: TDV Screener 2 Other-Screener
2.1: TDV Screener 1 Other-Screener
1.3: IPV Screener 3 Other-Screener
1.2: IPV Screener 2 Other-Screener
1.1: IPV Screener 1 Other-Screener

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201711-0970-002 No material or nonsubstantive change to a currently approved collection 2017-11-13 Approved without change
201710-0970-007 New collection (Request for a new OMB Control Number) 2017-10-16 Approved with change
201611-0970-002 New collection (Request for a new OMB Control Number) 2016-11-14 Withdrawn

OMB Details

1.1: IPV Screener 1

Federal Enterprise Architecture: Community and Social Services - Social Services