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 202105-0970-005 · OMB 0970-0462 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
OMB #0970-0462_NonSub Change Request_Instrument 18_Masking Assessment Items_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-05-12 Repair queued
OMB#-970-0462_Non-substantive Change Request_November2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-11-13 Repair queued
OMB#0970-0462_NonSubstantive Change Request _June 2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-06-24 Repair queued
Attachment J_Interview Verbal Informed Consent Form_Remote.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment I_Focus Group Informed Consent Form_Remote.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B. National Evaluation Informed Consent Forms A_Lottery Required_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
OMB#0970-0462_NonSub Change Request_Temporary Use of Verbal Consent Forms_04152020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-16 Available
Attachment B3_Tribal Evaluation informed consent Form D Unique Identifiers_Verbal.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B2_Tribal Evaluation_informed consent Form C SSNs_Verbal.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment B_National Evaluation informed consent Form D_ lottery not required-Verbal.docx Supplementary Document Uploaded 2020-04-16 Repair queued
Attachment B. National Evaluation Informed Consent Form C Lottery Required _Verbal_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment Z_ Participant Interview Recruitment Materials.docx Supplementary Document Uploaded 2019-04-18 Available
Attachment Y 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2019-04-18 Repair queued
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 Repair queued
Attachment V_HPOG 2.0_phone based Skills Assessment Pilot_ParticipantLetter.docx Supplementary Document Uploaded 2019-04-18 Repair queued
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_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment R_HPOG 2.0_Intermediate Follow-upSurvey_Flyer.docx Supplementary Document Uploaded 2019-04-18 Repair queued
Attachment Q_HPOG 2.0 Intermediate Follow-up Survey Sources_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment P_HPOG 2.0_Intermediate Follow-up Survey Advance Letter_REV.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment O_ResearchQuestions for Previously Approved National and Tribal Evaluation Efforts.docx Supplementary Document Uploaded 2018-02-01 Missing upstream
Attachment N_HPOG2.0_Short-Term Followup Short-Term Survey_ Email Remind_revised_010918_clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment M_HPOG 2.0_Short-Term Survey Flyer 01092018.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment L_HPOG 2.0 Short-Term Followup Followup Survey Sources_Rev_121217_Clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment K_HPOG2.0_Short-Term Followup Survey Advance Letter_Rev_01092018_Clean.docx Supplementary Document Uploaded 2018-02-01 Missing upstream
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 2020-06-24 Repair queued
Attachment I_Focus Group Informed Consent Form.docx Supplementary Document Uploaded 2020-06-24 Repair queued
Attachment H_HPOG- Model.pptx Supplementary Document Uploaded 2016-10-24 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 Available
HPOG 2.0 Supporting Statement B_Revised_NonSubChange_November 2020_Tracked to ACF_Revised_clean.docx Supporting Statement B Uploaded 2020-11-13 Repair queued
HPOG 2.0_Supporting Statement A_Revised_NonSubChange November 2020_Tracked to ACF_Revised_clean.docx Supporting Statement A Uploaded 2020-11-13 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 Repair queued
Attachment C_HPOG 2.0 15 mos follow up - 60 Day FRN_8.30.17.pdf Supplementary Document Uploaded 2018-02-01 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
244488 Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet Other-Welcome Packet Unchanged
242412 Instrument 18a: Intermediate Follow-up Survey for the National Evaluation impact study - Critical Items Only Other-Survey Unchanged
235780 Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study Other-Survey Modified
229938 Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form Other-Update Form Unchanged
224119 Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews Other-Interview Unchanged
224118 Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews Other-Interview Unchanged
224113 Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups Other-Focus Group Unchanged
224112 Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews Other-Interview Unchanged
224110 Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews Other-Interview Unchanged
224107 Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews Other-Interview Unchanged
216432 PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System Unchanged
216431 PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System Unchanged
216430 PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System Unchanged
ICR Details
0970-0462 202105-0970-005
Received in OIRA 202011-0970-004
HHS/ACF OPRE
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]
No material or nonsubstantive change to a currently approved collection   No
Regular 05/13/2021
  Requested Previously Approved
07/31/2022 07/31/2022
27,783 27,783
9,143 9,143
0 0

In June 2020, OMB approved Instrument 18, Intermediate Follow-up Survey for the National Evaluation Impact Study, with final revisions to one of the sections, Section J. This instrument, and specifically Section J, contains a module developed to assess HPOG 2.0 participant literacy and numeracy skills by telephone. Since this is an assessment, publishing the items could risk their future utility. This request seeks approval for a minor change to Instrument 18, Intermediate Follow-up Survey. The Section J module contains 11 numeracy and 11 literacy items. ACF seeks permission to mask the specific items in this module in the publicly available version of the instrument. This is standard practice with assessments since, as noted above, publishing the items could risk their future utility. The inability to mask these items could jeopardize their future use in subsequent work on HPOG 2.0 or other related ACF studies. The requested changes only require the replacement of the June 2020 version of Instrument 18 with the revised version with Section J masked.

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

  Total Request 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 27,783 27,783 0 0 0 0
Annual Time Burden (Hours) 9,143 9,143 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$4,717,923
No
    Yes
    No
Yes
No
No
Yes
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.
05/13/2021