Information Collection Request

OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]

ICR 201904-0970-006 · OMB 0970-0462 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment Z_ Participant Interview Recruitment Materials.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment Y 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2019-04-18 Available
Attachment X_Complete List of Previously Approved Instruments for HPOG 2.0.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment W_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Script.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment V_HPOG 2.0_phone based Skills Assessment Pilot_ParticipantLetter.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment U_HPOG 2.0_phone based Skills Assessment Pilot_Grantee Letter.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment T_HPOG 2.0_phone based Skills Assessment Pilot_Recruitment Flyer.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment S_HPOG 2.0_Intermediate Follow-up Email Reminder.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment R_HPOG 2.0_Intermediate Follow-upSurvey_Flyer.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment Q_HPOG 2.0 Intermeditate Follow-up Survey Sources.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment P_HPOG 2.0_Intermediate Follow-up Survey Advance Letter.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment O_ResearchQuestions for Previously Approved National and Tribal Evaluation Efforts.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment N_HPOG2.0_Short-Term Followup Short-Term Survey_ Email Remind_revised_010918_clean.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment M_HPOG 2.0_Short-Term Survey Flyer 01092018.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment L_HPOG 2.0 Short-Term Followup Followup Survey Sources_Rev_121217_Clean.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment K_HPOG2.0_Short-Term Followup Survey Advance Letter_Rev_01092018_Clean.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment K_HPOG 2 0 Incentive Communications_Email and Letter_071117 CLEAN.docx Supplementary Document Uploaded 2017-07-12 Available
Attachment J_Interview Verbal Informed Consent Form.docx Supplementary Document Uploaded 2016-10-24 Available
Attachment I_Focus Group Informed Consent Form.doc Supplementary Document Uploaded 2016-10-24 Available
Attachment H_HPOG- Model.pptx Supplementary Document Uploaded 2016-10-24 Available
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2016-06-16 Repair queued
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2016-06-16 Repair queued
Attachment B_Approved non-tribal, adult lottery not required consent form.docx Supplementary Document Uploaded 2016-06-16 Repair queued
Attachment A_References_Revised 09 02 16.docx Supplementary Document Uploaded 2016-10-24 Repair queued
Attachment G. Contact Update Letter and Form.docx Supplementary Document Uploaded 2015-05-11 Repair queued
HPOG 2.0 Supporting Statement Part B_Revised_071819.docx Supporting Statement B Uploaded 2019-07-18 Repair queued
HPOG 2.0_Supporting Statement Part A_Revised_071819.docx Supporting Statement A Uploaded 2019-07-18 Repair queued
Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document Uploaded 2015-05-06 Repair queued
FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document Uploaded 2015-08-05 Repair queued
Attachment D. Sources and Justification_5.4.15.docx Supplementary Document Uploaded 2015-05-06 Available
Attachment C_HPOG 2.0 15 mos follow up - 60 Day FRN_8.30.17.pdf Supplementary Document Uploaded 2018-02-01 Available
Attachment B. Informed Consent Forms_01.25.16 clean.docx Supplementary Document Uploaded 2016-01-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
235782 Instrument 20: Program cost survey Other-Survey New
235781 Instrument 19: Phone-based Skills Assessment Pilot Instrument Other-Phone-based Assessment New
235780 Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study Other-Survey New
235779 Instrument 17: Participant interview guide Other-Interview Guide New
235778 Instrument 16: Partner interview guide for the systems study Other-Interview Guide New
235777 Instrument 15: Program operator interview guide for the systems study Other-Interview Guide New
235776 Instrument 14: Second round telephone interview protocol for non-tribal HPOG grantee staff and partners Other-Interview Guide New
235775 Instrument 13: Screening tool for identifying respondents for second-round telephone interviews Other-Screener New
229940 Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation Other-Survey Modified
229938 Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form Other-Update Form Modified
224119 Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews Other-Interview Modified
224118 Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews Other-Interview Modified
224113 Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups Other-Focus Group Modified
224112 Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews Other-Interview Modified
224110 Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews Other-Interview Modified
224107 Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews Other-Interview Modified
224101 Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms Other-Welcome Packet Removed
224098 Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews Other-Interview Removed
216432 PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System Modified
216431 PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System Modified
216430 PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System Modified
ICR Details
0970-0462 201904-0970-006
Historical Active 201809-0970-007
HHS/ACF
OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]
Revision of a currently approved collection   No
Regular
Approved with change 07/24/2019
Retrieve Notice of Action (NOA) 04/23/2019
Note that based on the findings from the pilot test, ACF should submit the revised, final Intermediate Follow-up Survey to OMB as a non-substantive change request before fielding it.
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 06/30/2021
21,040 0 31,300
9,780 0 11,044
0 0 0

The National and Tribal Evaluations of the Health Profession Opportunity Grants (HPOG) program, known as the HPOG 2.0 Evaluation is funded by the Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS). The HPOG 2.0 Evaluation includes evaluations of tribal grantees (Tribal Evaluation) and non-tribal grantees (National Evaluation).This statement supports the request for a third revision to the data collection plans for the HPOG 2.0 Evaluation, previously approved under OMB Clearance No. 0970-0462. For the National Evaluation, this information collection request covers instruments for the descriptive evaluation, the impact evaluation, and the cost-benefit analysis study. The eight instruments included in this request are: Five instruments for the descriptive evaluation (Instruments 13-17): - Screening Interview Guide, Second-round Interviews, - Second-round Telephone Interview Guide, - Program Operator Interview Guide for systems study, - Partner Interview Guide for systems study, and - Participant In-depth Interview Guide. Two instruments for the impact evaluation (Instruments 18 and 19): - Intermediate Follow-up Survey, - Phone-based Skills Assessment Pilot One instrument for the cost-benefit analysis study (Instrument 20): - Program cost survey

PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  
None

Not associated with rulemaking

  83 FR 66715 12/27/2018
84 FR 16870 04/23/2019
No

19
IC Title Form No. Form Name
Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms
Instrument 13: Screening tool for identifying respondents for second-round telephone interviews
Instrument 15: Program operator interview guide for the systems study
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
Instrument 20: Program cost survey
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
PAGES Grantee- and Participant-Level Data Collection (all grantees)
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation
Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews
Instrument 14: Second round telephone interview protocol for non-tribal HPOG grantee staff and partners
Instrument 16: Partner interview guide for the systems study
Instrument 17: Participant interview guide
Instrument 19: Phone-based Skills Assessment Pilot Instrument

  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 21,040 31,300 0 -10,260 0 0
Annual Time Burden (Hours) 9,780 11,044 0 -1,264 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is an additional information collection request under OMB #0970-0462. The burden estimates include estimates for the eight new data collection tools that are the subject of this information collection request. This request also includes an additional 94 burden hours associated with the previously approved Short-term Follow-up Survey. The increase is due to the fact that the final enrollment targets were still estimates at the time that the package for approval of the Short-term Follow-up Survey (Instrument #12) was submitted for review. The total enrollment for the cohorts included in that sample was slightly higher than 13,000 estimated, thus there will be slightly more completed interviews. Under the first round HPOG 1.0 impact study ACF added a long-term follow-up study to measure impacts six years after random assignment (approved under OMB Control # 0970-0394). ACF may opt to do the same for the second round of HPOG grants as part of the HPOG 2.0 National Evaluation impact study. In order to ensure that the interviewers can reach the study participants for any subsequent information collection efforts, it is important to maintain updated contact information once the initial 36-month follow-up period ends. Therefore, ACF seeks approval increase the burden for the previously approved contact update form (Instrument 5b).

$4,717,923
No
    Yes
    No
Yes
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.
04/23/2019