OMB control number

Multi-Site Implementation Evaluation of Tribal Home Visiting

OMB 0970-0521 · HHS/ACF.

OMB 0970-0521

This non-substantive change request includes updates to materials for the Multi-Site Implementation Evaluation of Tribal Home Visiting (MUSE) (OMB #0970-0521) that will allow ACF to proceed safely with data collection during the COVID-19 pandemic. The information collection is currently underway; however, data collection was put on hold for 4 months due to COVID-19. In response to the pandemic, Tribal Home Visiting programs have modified their service delivery strategy from in-person home visits to home visits made virtually using telephone or videoconference. The change in service delivery mechanism necessitates changes to MUSE data collection procedures; we are proposing updates to shift data collection from an in-person to a virtual format. We are also proposing to collect a limited amount of additional information that describes how home visiting services are being provided virtually during the pandemic. The following revised materials are included with this submission: • Updated Supporting Statement A • Updated Supporting Statement B • Updated Instrument 11 Home Visitor Interview Questions • Updated Instrument 12 Program Coordinator-Manager or Program Director Interview Questions • Updated Instrument 13 Program Evaluator Interview Questions • Updated Instrument 14 Caregiver Interview Questions • Updated Instrument 16 MUSE Administrative Data Elements • Updated Attachment A Informed Consent Documents • Updated Attachment E Caregiver Interviewee Selection Guide • Updated Attachment I Caregiver Interview Invitation Phone Script

The latest form for Multi-Site Implementation Evaluation of Tribal Home Visiting expires 2021-12-31 and is listed under ICR 202007-0970-011.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Non-Substantive Change Request Memo_MUSE August 2020.docx Justification for No Material/Nonsubstantive Change
Supplemental Attachment to Non-Substantive Change Request 12.19.19.docx Justification for No Material/Nonsubstantive Change
Supplemental Attachment for Non-Substantive 2 27 2019 CLEAN.docx Justification for No Material/Nonsubstantive Change
ATTACHMENT L. Intro to MUSE Video Script FINAL_1.17.2019.pdf Supplementary Document
Attachment E - MIECHV Learning Agenda.docx Supplementary Document
30 Day FRN_MUSE_8.10.18.pdf Supplementary Document
MUSE OMB Part B Non sub change 8.11.20 CLEAN.docxSupporting Statement B
MUSE OMB Part A Non-sub change 8.11.20 CLEAN.docxSupporting Statement A
ATTACHMENT J. Program Data Collection Reminders Emails 2.5.2019.pdf Supplementary Document
ATTACHMENT I. Caregiver Interview Invitation Phone Script 7.2.20_clean.docx Supplementary Document
ATTACHMENT H. Staff Interview Invitation Email and Phone Script FINAL.docx Supplementary Document
ATTACHMENT G. Staff Survey Invitation Email 2.5.2019.pdf Supplementary Document
ATTACHMENT F. Caregiver Flyer 2.5.2019.pdf Supplementary Document
ATTACHMENT E. Caregiver Interviewee Selection Guide 7.2.20_clean.docx Supplementary Document
ATTACHMENT D. Documentation of Initial IRB Approval and Amendment Approval.pdf Supplementary Document
ATTACHMENT C. Agreement to Keep Participant Data Private FINAL.doc Supplementary Document
ATTACHMENT B. 60 Day Federal Register Notice.pdf Supplementary Document
ATTACHMENT A. Informed Consent Documents_071520_clean.docx Supplementary Document
16. MUSE Administrative Data Elements Other-Data Elements
15. MUSE Implementation Logs 7.9.18 CLEAN Other-Implementation Logs
14. MUSE Caregiver Interview Questions Other-Interview Questions
13. MUSE Local Evaluator Interview Questions Other-Interview Questions
12. MUSE Program Coordinator-Manager and Program Director Interview Questions Other-Interview Questions
11. MUSE Home Visitor Interview Questions Other-Interview Questions
10. Program Implementation Survey 7.9.18 CLEAN Other-Survey
9. MUSE Local Program Evaluator Survey 7.9.18 CLEAN Other-Survey
8. MUSE Program Director Survey 7.25.18 CLEAN Other-Survey
7. MUSE Program Coordinator-Manager Survey 7.25.18 CLEAN Other-Survey
6. MUSE Home Visitor Survey 7.25.18 CLEAN Other-Survey
5. MUSE Rapid Reflect Home Visitor 7.25.18 CLEAN Other-Questionnaire
4. MUSE Rapid Reflect Caregiver 7.9.18 CLEAN Other-Questionnaire
3. MUSE Caregiver 6 12 Month Follow-Up Survey Other-Follow Up Survey
2. MUSE Caregiver Baseline Survey Other-Caregiver Baseline Survey
1. MUSE Caregiver Enrollment Form 7.9.18_CLEAN Other-Enrollment Form

All Historical Document Collections

OMB Details

1. MUSE Caregiver Enrollment Form 7.9.18_CLEAN

Federal Enterprise Architecture: Community and Social Services - Social Services