OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study

ICR 201509-0970-013 · OMB 0970-0468 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment B - ADVHOCaT Consent Form for Survey 8-27-15.docx Supplementary Document Uploaded 2015-09-17 Available
ADVHOCaT_SS_B 8-27-15 - ACF-OPRE Response - 11-20-15_clean.doc Supporting Statement B Uploaded 2015-11-20 Repair queued
ADVHOCaT_SS_A 8-27-15.doc Supporting Statement A Uploaded 2015-09-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
218232 NDVH/LIR Preference of Use Survey Other-Survey New
ICR Details
0970-0468 201509-0970-013
Historical Active
HHS/ACF
Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/01/2015
Retrieve Notice of Action (NOA) 09/23/2015
  Inventory as of this Action Requested Previously Approved
12/31/2016 12 Months From Approved
5,000 0 0
205 0 0
0 0 0
The Office of Planning, Research and Evaluation (OPRE) and the Family and Youth Services Bureau (FYSB) of the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seek approval for an information collection activity as part of its effort to describe the activities of the National Domestic Violence Hotline (NDVH) and the Love Is Respect (LIR) hotline (otherwise known as the National Dating Abuse Helpline). To carry out this work, OPRE and FYSB have contracted with the George Washington University Milken School of Public Health. This Information Collection Request (ICR) addresses new data to be collected from a web-based survey of visitors to the NDVH and LIR websites. The data will address a gap in understanding the preferred mode of contact (i.e. phone, chat, or text) by those who contact the NDVH/LIR.
US Code: 42 USC 613 Name of Law: Social Security Act: Research, Evaluations and National Studies
  
None
Not associated with rulemaking
  80 FR 42823 07/20/2015
80 FR 57181 09/22/2015
No
1
IC Title Form No. Form Name
NDVH/LIR Preference of Use Survey
  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 205 0 0 205 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$16,156
No
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.
09/23/2015