OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Home Visiting: Approaches to Father Engagement and Fathers' Experiences

ICR 201404-0970-009 · OMB 0970-0448 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Appendix E References.docx Supplementary Document Uploaded 2014-04-22 Available
Appendix D IRB Certificate of Approval.pdf Supplementary Document Uploaded 2014-04-22 Available
Appendix C Staff Confidentiality Pledge.doc Supplementary Document Uploaded 2014-04-22 Available
Appendix A-5b Parent Flyer_Spanish.docx Supplementary Document Uploaded 2014-04-22 Available
Appendix A-5a Parent Flyer.docx Supplementary Document Uploaded 2014-04-22 Available
Appendix A-4b Parent Consent Form_Spanish.docx Supplementary Document Uploaded 2014-04-22 Repair queued
Appendix A-9a Parent Consent Form_final.docx Supplementary Document Uploaded 2014-08-29 Available
Appendix A-8 Staff Consent Form_final.docx Supplementary Document Uploaded 2014-08-29 Available
Appendix A-1 Program Recruitment Letter final.docx Supplementary Document Uploaded 2014-08-29 Available
FAHV OMB Part B response to 2nd passback_final.docx Supporting Statement B Uploaded 2014-08-29 Available
FAHV OMB Part A - response to 2nd passback_final.docx Supporting Statement A Uploaded 2014-08-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211365 Home Visit Observation Sheet Instruction New
211364 Interview Guide for Mothers-English and Spanish versions Other-Guide New
211363 Interview Guide for Fathers-English and Spanish versions Other-Guide New
211362 Interview Guide for Home Visitors Other-Interview Guide New
211361 Interview Guide for Program Administrators Other-Interview Guide New
211360 Guide for Selecting Parents for Interviews Other-Guide New
ICR Details
0970-0448 201404-0970-009
Historical Active
HHS/ACF
Home Visiting: Approaches to Father Engagement and Fathers' Experiences
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/29/2014
Retrieve Notice of Action (NOA) 04/30/2014
  Inventory as of this Action Requested Previously Approved
08/31/2015 12 Months From Approved
105 0 0
167 0 0
0 0 0
The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval to collect proposed information in support of a study of approaches used by selected home visiting programs to actively engage fathers in their program services. ACF is interested in obtaining information to disseminate lessons from these home visiting programs to other home visiting programs as well as to those who provide program oversight and assistance. Through the proposed information collection, the researchers will obtain information about the strategies used by the home visiting programs to actively engage fathers in home visiting services, the perspectives and experiences of staff in these programs, and the experiences and views of fathers who have participated in the selected programs as well as the views of the mothers. The study will include site visits to five selected home visiting programs that vary in their service delivery models, the populations they serve, and geographic location. Information will be collected through small group and one-on-one discussions with program directors, supervisors/coordinators, home visitors, and participating fathers and mothers.
PL: Pub.L. 113 - 76 DIVISION H - DOL, HHS, ED Name of Law: Consolidated Appropriations Act, 2014
  
None
Not associated with rulemaking
  78 FR 48689 08/09/2013
79 FR 22819 04/24/2014
Yes
  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 105 0 0 105 0 0
Annual Time Burden (Hours) 167 0 0 167 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$399,440
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Buck 202 205-4724 [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.
04/30/2014