OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

OPRE Study: Evaluation of Project Connect [Implementation Study]

ICR 202106-0970-001 · OMB 0970-0575 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Appendix I. IRB Approval Letter.docx Supplementary Document Uploaded 2021-06-03 Available
Appendix H. Certificate of Confidentiality.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix G. Informed Consent for Staff.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix F. Informed Consent for Parents_Program Participants_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix E. Outreach Phone Call for Parents_Program Participants_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix D. Services as Usual Recruitment Flyer Text_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix C. Consent Form for to Release Parent_Program Participant Contact Information_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix B. Outreach Email for staff not connected to via program_agency_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix A. Outreach Email for staff connected to via program_agency_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Project Connect - SSB_round x_clean.docx Supporting Statement B Uploaded 2021-06-03 Repair queued
Project Connect - SSA_round xi_clean.docx Supporting Statement A Uploaded 2021-06-03 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
247727 Focus Group Guide for Families Other-Focus Group Guide New
247726 Interview Guide for Families Other-Interview Guide New
247725 Interview Guide for Other Stakeholders (Behavioral Health and Judicial Stakeholders) Other-Interview Guide New
247724 Focus Group Guide for Staff (Project Connect and Child Welfare Agency Staff) Other-Focus Group Guide New
247723 Interview Guide for Administrators (Project Connect, Child Welfare Agency, and Child Welfare Central Referral Unit) Other-Interview Guide New
ICR Details
202106-0970-001
Received in OIRA
HHS/ACF OPRE
OPRE Study: Evaluation of Project Connect [Implementation Study]
New collection (Request for a new OMB Control Number)   No
Regular 06/08/2021
  Requested Previously Approved
36 Months From Approved
30 0
40 0
0 0
The Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the Department of Health and Human Services (HHS) proposes to collect information to assess the implementation of Project Connect, a comprehensive home visitation intervention that provides home-based services and treatment to child welfare-involved, substance-affected families with children and adolescents ages 0 to 17. The implementation study will support a planned impact evaluation that will rely on administrative data to examine the impact of the program on child welfare outcomes. Information collection would include interviews with child welfare agency and program administrators, focus groups with program and child welfare agency staff, interviews and focus groups with participants, and interviews with other program stakeholders. The implementation study will also include direct observations of program staff meetings, program delivery, and judicial hearings.
US Code: 42 USC 676 Name of Law: Title IV-E of the Social Security Act
  
None
Not associated with rulemaking
  86 FR 14928 03/19/2021
86 FR 30463 06/08/2021
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 30 0 0 30 0 0
Annual Time Burden (Hours) 40 0 0 40 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$228,357
No
    Yes
    No
No
No
No
No
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.
06/08/2021