OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Cross-Site Evaluation of the Childrens Bureau Grantee Cluster: Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV)

ICR 200911-0970-002 · OMB 0970-0375 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statement Part B.doc Supporting Statement B Uploaded 2009-10-01 Available
Appendix C - Confidentiality Pledge.doc Supplementary Document Uploaded 2009-09-23 Available
Appendix A EBHV Grantee Site and Program Model.doc Supplementary Document Uploaded 2009-09-23 Available
Supporting Statement Part A.doc Supporting Statement A Uploaded 2009-10-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
191209 EBHV grantee-partner network survey Other-EBHV grantee-partner network survey New
191208 Home visitor-participant relationship questionnaire Other-Home visitor-participant relationship questionnaire New
191207 Participant-home visitor relationship questionnaire Other-Participant-home visitor relationship questionnaire New
191206 EBHV grantee data quality progress table Other-EBHV grantee data quality progress table New
191205 EBHV agency fidelity/cost web-based data entry Other-EBHV agency fidelity/cost web-based data entry New
191204 EBHV grantee systems web-based data entry Other-EBHV grantee systems web-based data entry New
191203 EBHV grantee and key staff-partner interview guide Other-EBHV grantee and key staff-partner interview guide New
ICR Details
0970-0375 200911-0970-002
Historical Active
HHS/ACF
Cross-Site Evaluation of the Childrens Bureau Grantee Cluster: Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/26/2010
Retrieve Notice of Action (NOA) 11/04/2009
  Inventory as of this Action Requested Previously Approved
02/28/2013 36 Months From Approved
20,348 0 0
11,355 0 0
0 0 0
The Administration for Children and Families (ACF) of the Department of Health and Human Services (DHHS) is requesting Office of Management and Budget (OMB) clearance for the data collection instruments and procedures, plans for data analysis, and reporting of findings to be used in a cross-site evaluation of its Children's Bureau's grantee cluster, Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV). The Cross-Site EBHV Evaluation will collect information from the 17 EBHV grantees to augment the existing evidence base by identifying successful strategies for adopting, implementing, and sustaining high quality home visiting programs to prevent child maltreatment. This will be done through support of rigorous local evaluations as well as using this data and cross-site research to assess participant, program, and systems change outcomes.
US Code: 42 USC 67 Name of Law: Child Abuse Prevention and Treatment Act
  
None
Not associated with rulemaking
  74 FR 29701 06/23/2009
74 FR 55051 10/26/2009
No
  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 20,348 0 0 20,348 0 0
Annual Time Burden (Hours) 11,355 0 0 11,355 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.
$857,867
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Seth Chamberlain 202 260-2242 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/04/2009