Information Collection Request

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

ICR 202302-0970-003 · OMB 0970-0527 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0527 can be found here:

2025-06-13 - Reinstatement with change of a previously approved collection

Forms and Documents

Document	Type	Status	Availability
RPG7 NonSub Change Request Memo_Comments Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-02-10	Repair queued
Appendix L_Sustainability Survey FAQ_CLEAN.docx	Supplementary Document	Uploaded 2022-02-17	Repair queued
Appendix K_Sustainability Survey Outreach Emails_CLEAN.docx	Supplementary Document	Uploaded 2022-02-17	Repair queued
Supporting Statement A - RPG CSE_RPG7_clean.docx	Supporting Statement A	Uploaded 2023-02-10	Repair queued
Appendix J_Partner Survey FAQ_CLEAN.docx	Supplementary Document	Uploaded 2022-02-17	Repair queued
Appendix I_Partner Survey Outreach Emails_CLEAN.docx	Supplementary Document	Uploaded 2022-02-17	Missing upstream
Appendix A_Copy of authorizing legislation.pdf	Supplementary Document	Uploaded 2019-01-09	Repair queued
Supporting Statement B - RPG CSE_RPG7_clean.docx	Supporting Statement B	Uploaded 2023-02-10	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
251666	Site visit and key informant data collection: Sustainability survey (Appendix D)	Other-Survey	Modified
234669	Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (16 grantees) (Appendix G)	Other-Data Elements	Modified
234668	Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix G)	Other-Data Elements	Modified
234667	Outcomes and impacts data - Standardized instruments: Enter data into local database (Appendix G)	Other-Data Elements	Modified
234666	Outcomes and impacts data - Administrative data: Report administrative data (Appendix H)	Other-Admin Data	Modified
234665	Outcomes and impacts data - Administrative data: Obtain access to administrative data (Appendix H)	Other-Admin Data	Modified
234663	Enrollment and services data: Service log entries (Appendix F)	Other-Data Elements	Modified
234662	Enrollment and services data: Case closure – prenatal (Appendix F)	Other-Data Elements	Modified
234661	Enrollment and services data: Case closure (Appendix F)	Other-Data Elements	Modified
234656	Enrollment and services data: Case enrollment data (Appendix F)	Other-Data Elements	Modified
234655	Enrollment and services data: Semiannual progress reports (Appendix E)	Other-Progress Report	Modified
234654	Site visit and key informant data collection: Partner survey (Appendix C)	Other-Survey	Modified
234652	Site visit and key informant data collection: Partner representative interviews (Appendix B)	Other-Interview	Modified
234651	Site visit and key informant data collection: Frontline staff interviews (Appendix B)	Other-Interview	Modified
234650	Site visit and key informant data collection: Program manager/supervisor individual interviews (Appendix B)	Other-Interview	Modified
234648	Site visit and key informant data collection: Program director individual interview (Appendix B)	Other-Interview Guide	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/ACF
OMB Control No	0970-0527
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202202-0970-006
Agency Tracking No	ACYF-CB
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31